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HomeMy WebLinkAbout2021 Sign off Transmittal - Finish basement `,t Y `'4,, TOWN OF YARMOUTH HEALTH DEPARTMENT • PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant. Building Site Location: 9 / )' Proposed Improvement: l i Si �7 t ITL 6/c15��� lti GCS 2 r V FX-[1 � -� k-u(?-7` . _at.. P c1 v o o^^t'- R vsAn4 (.t,, i � LI/-/a 5-e_7) a j/ 4-17- r Applicant: Pd :4-1 &OZ. W/1-4 Tel. No.: 7 -2,7 2 • (,670-- Address: 6G'-Address: k 57 N�".%G _ U_� � �lfC ©r.C7>`� 1/10 , 1-L0?- Date Filed: l 0/4 ?/;?.."'°-01 **Ifyou would like e-mail notification of sign off please provide e-mail address: -.r4 aC'fUJA,A7 010, 7,-Avi ie • C_0.--t Owner Name: IQ, h 12 t1.Py-s i-ut Owner Address: ‘.:10/14 Owner Tel. No.: RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed) - Note: Floor plans not required for decks, sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: �. 11-:/7‹ DATE: 101- )(/! dY PLEASE NOTE COMMENTS/CONDITIONS: 14 y^ \A D,.‘ 7))-(7 dvb, 5./ (), ci 143 (..e vv)e 71 � - ,/„to / -1%(.4 r- New Cry) c L 7 �� cC rt-'c 3 R.e dv-0 ("//,,/ 0 is-- ,--- ,.. ---- ---- __. d ' N\ 1:--%•• • C:) 1 r I CL-61913( V .Z..., 1 ..„ (..0. ,. N CD `•:.' i-.-- <1> —4 N.) -0 r•-.) cm Iiiiii Qa cs —S4 ‘ • iN / ''''..••• ___ c•-‹-z.: 41wir........-------........----,---.... . 1 . .. _... i , 0 ....:::'\. '. . Z.)\ ••,,,, I --...,_ N ( ))' k,2 b, f/t/wfv 'v x �r •�* J t4 , 3x32.. *. 3 ' M.f Csfs.. - ' //A_ / - N sJ ..-.-.________:t' ' 1 1 S - V,.4, .: __.,.. . :) ._...c.. .s..\ w i :�;g z ,' r14_______)„, , H • a/c,/ 0 OD , , m o fpm l �rLC /��itC` .1 1,0,1-5.,* `s 12/17/21,7:32 PM Mail-Robert A.Wray Outlook / q- ...r '...mar -.' t t it It It • r . �` 4^ 1 ,; az ykx F • '1 -moi id r r z r,,,,t0.,,,,,,,,,--, -.y w Sr F # * _�_._ ` ...t.„...,,,,,,,,-.::.:,; x� yu,# y 2. - 4'� A" �i i Fes' � ' 1 11M. M1 ''1,,Sr! ...! ' ' t. y�` ,.„) . $ https://outlook.live.com/mail/0/inbox/id/AQMkADAwATZiZmYAZC05ZjIOLWE1YmIALTAwAiOwMAoARgAAA4KW3gh9gbIFs5Uw1 psFBA8HAHZ3JiKwJ... 2/2 12/17/21,6:31 PM Mail-Robert A.Wray-Outlook l. s tom' .: _ "-� ,._ .,.. -, baa ""1� - '" a'�, 1, a^M''''''' r K Yrs �" �.. f' # .,, r � ,t nsa7 w. ' 14411111t" tt .r.2- 't&• -- '+, lu ao https://outlook.live.com/mail/0/inbox/id/AQMkADAwATZiZmYAZC05ZjIOLW E 1 YmIALTAwAiOwMAoARgAAA4KW3gh9gbIFs5Uw1 psFBA8HAHZ3JiKwJ... 2/2 12/17/21,6:07 PM Mail Robert A.Wray Outlook r / '„., * 1! • ,'.. v. . i ,& .. 1 f 1 C 5 i. 2 J of iii x ." $ l;. ••sic-+<s".�x �, ,,4.� s �" w , iii Xw< i 3 � . dig ! � a 'Il m.',P,,,i'. A �l ,t,°Pty,, +may :'. 3✓ ,r kr S, 19,e 4" x https://outlook.live.com/mail/0/inbox/id/AQMkADAwATZiZmYAZC05ZjI0LWE 1 YmIALTAwAiOwMAoARgAAA4KW3gh9gblFs5Uw1 psFBA8HAHZ3JiKwJ... 1/2