HomeMy WebLinkAbout2005 Sign off Transmittal - Addition ' ;!.sq TOWN OF YARMOUTH
;o' Building Department (OFFICE USE ONLY
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,,e���f Yarmouth, MA 02664
(508)398-2231 ext.261 Permit Fee: $0.00
Deposit Rec: $25.00
BUILDING PERMIT Payment Type: Check ChkNo.: 947
Net Owed: ($25.00)
TRANSMITTAL Application Date: 9/1/2005
Issue Date:
Temp Permit No.: T-06-105 Expiration Date
Applicant Name: Jamie Kline Comments: Map/Lot: 036.52
Applicant Phone: 5086859500 construct addition for familyroom
Building Location: 00002 VIRGINIA ST
Owner's Name: FRANCIS J HORNE
Owner's Addres 00002 VIRGINIA ST
West Yarmouth MA 02673
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Owner's Telephone: (508) 771-1061
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HEAL i H DEP i_ j
REVIEWED BY:
1. WATER DEPARTMENT: DATE: N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3. CONSERVATION: DATE: ` N/A: ►1
4. HEALTH DEPARTMENT: DATE: /D//7/.15— NP : e ( 44okJ
5. BUILDING DEPARTMEN : DATE: / 6 N/A q J., a
6. FIRE DEPARTMENT: DATE: N/A: a►,4.„, <,R.e _e_
PLEASE NOTE
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RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE:
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Date Printed: 9/14/2005
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