HomeMy WebLinkAbout127 Evergreen InspectionTHE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF YARMOUTH
1 146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664.4451
Telephone (508) 398-2231 , Ext. 1240 - Fax (508) 398-2365
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Address --------Unit
No. Max. Occupants No. of Habitable Rooms s
No. Sleeping Rooms No. Dwelling or Rooming Unils No. Stories
Name and Address of Owner q\irler Lctt v B iL\..,e (Z D VAzI"t^JihLTF norng
Floor Apartm
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Vlo
Type
lnspectio
Basemen
C MENTS
Annf Z Seasonal ! Weeky
n B scheduted ! Pnorto Occupancy I Complainl
t: ! Finished n Unfinished .- 0ft.OU S?qLQ.
DetBclors: ! Smofe(s) Not Present
N/-",,.rgoo, P{
""',,no,/fteat,nq System, Jc'as, ort, Etec
Jy'tuno,ne
dEtectncat D Panel Not Labeled
E Carbon Monoxide Not Present
tric. Propane
Panel Labeled
I Present
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E Saletv Concerns
!Uln"n"n stou" tr Etectric d/Gas
/Appearance ot vo ld ,f lnfestatron ! Rals. Mice, Roaches or Other d|6ne Observeo
f Garbage and Rubb,# tr Contarners/Covers CArea Clean
dfexrc.or varo /Efe,,o. ot xorse
drlo"r, on Door'. ty'E",".. I
Jstorm/screen ooo, JDoo, ctosu,e J*'noo*,
E Krlchen
Jy'emovefneseat seal?ht Base of Shower D Top ofTub ! Base ofTub (Floor)
!! General Appearancy'
Bedroom C 1 ilz a3 tr4 tr5 tr6
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6n; sh SIDTNG oru Fror.r \>e t/-
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The n sched led reinspection
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ants Rights' Has Been lssued lo Tenant.
violalions checked above is a condition which may materially impair lhe health or salety and well-being of the occupanl as
CMR 410.750 of the code or the authorized inspector (see over).
This inspection Be Signed and Certilied Under the Pains and Penalties ol Perjury
Cl copy ot "ten
One or more of the
determined by 105
lns
Date
Title
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