HomeMy WebLinkAboutSign off Transmittal 2002 - Stairs for Egress A cif 4.4 1 TOWN OF YARMOUTH
�°a f '2 BUILDING DEPARTMENT
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'1 ; BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF
TRANSMITTIAL SHEET
Building Site Location: F,
34 AO Li.I Map No: 3(1 Lot No: IS 3
Proposed Improvement: r4 Ort_ ., IA/ �.
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Applicant: ( Agf4L P II Ai P ille A 1.,I rrt:7"I
Address: -- Tel.No.: 351 0546 Date Filed: 646,4
The Building Department will be responsible for assisting the applicant by dispatching your plans and or application to the following
applicable departments.
RESIDENTIAL AND/OR COMMERCIAL BUILDING
WATER DEPARTMENT: Determines Compliance of Water Availability and or existing location.
ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage.
CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts;i.e.,If Lot(s)Border any Type of
Wetlands, Streams,Ponds,Rivers,Oceans,Bogs,Bays,Marshland,Etc
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations;i.e.,Requirements
For Septage Disposal and other Public Health Activities.
FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal
Safety,Property Protection;i.e., Smoke Detectors, Sprinider Systems,Etc.
REVIEWED BY:
I. WATER DEPARTMENT: DATE: N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3. CONSERVATION: DATE: N/A:
4. HEALTH DEPARTMENT: jJ `"� Vi DATE: '7 3 -6 D}AUA:
INDUSTRIAL AND/OR COMMERCIAL PERMITS
5. WIRING INSPECTOR: DATE: N/A:
6. PLUMBING INSPECTOR: DATE: "_ N/A:
7. FIRE DEPARTMENT: DATE: N/A:
PLEASE NOTE
COMMENTS:
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RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE:
White copy—Building Dept. - Yellow Copy—Health Dept. - Pink Copy—Engineering Dept - Goldenrod-Fire Dept/Conservation