HomeMy WebLinkAbout2022 Sign off Transmittal - Inground Pool .fr TOWN OF YARMOUTH
°: HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: 7'IeI I--tS ya rrY)a ' .44
Proposed Improvement: ft7Iert ( r eAA) Viv:V/r7d I &) (4.12-
%7 ber�f� c 1--4-
Applicant: c ( 1C1Q 5,1 PO U1`.� Tel. No. G7 3b.2 ��✓�d
Address: ) ( V V .fi y L / 114 4.) Date Filed: Li- 1
**lfyou would like e-mail notification of sign off please provide e-mail address: .Aa V r- 6)S-ens/do p x /S caper 0 )
(Cyn
Owner Name: .PC kl A J be vi'` jUI0A C
Owner Address: Owner Tel. No.(DOJ �
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.
, ,. )----11REVIEWED BY: (/:1?-1A-7117 -
DATE: I
PLEASE NOTE
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