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HomeMy WebLinkAboutBLDTR-23-003561 in Li kj 4LJ /�— Y� TOWN OF YARMOUTH BUILDING DEPARTMENT Permit Number &-D7 - .4*Y4,/it y 1146 Route 28,South Yarmouth,MA 02664 N w rya 508-398-2231 ext. 1261 Fax 508-398-0836 Date Issued vZ 3 -66 3510 Expiration Date 004 ZJOZ_ $50.00 RECEIVED TRENCH PERMIT Pursuant to G.L. c. 82A §1 and 520 CMR 7.00 et seq.(as amended bEC 2 9 2022 THIS PERMIT MUST BE FULLY COMPLETED PRIOR TO CONSIDERATION BUILDING DEPAR(WENT Name of Applicantr. � �� Phone Cell By Street Address (T)L.� ) � OO' V.O \ 1• 5CiCA Email Address:Cc, (N c)U r,(\C\5e xC,,\kicc\ Ci Gown MA ZIP CCim VD(e- c am.. OA.CAALA Name of Excavator(if different from applicant) Phone Cell Street Address C� Email Address: City/Town MA ZIP Name of Owner(s)of Property Phonet1 Cell Street Address �e\\\A CJI.`C� )—1 3C1b& Email Address: ,._,\\� 1 r<e,tnrc,hov,c� City/Town .IA ZIP I tMwh Other Contact I Permit Fee Received No( 1 Yes( Description,location and purpose of proposed trench: Please describe the exact location of the proposed trench and its purpose(include a description of what is(or is intended)to be laid in proposed trench(eg;pipes/cable lines etc..)Please use reverse side if additional space is needed. \5 CC4iC;•‘C1 )3 'e Insurance Certificate N: Gll_ocstAW)1,\-11-5-0 Name and Contact Information of Insurer: I C\Oe,( erV. AXLA\n a- U)3e\\ (5O1-15-llo2b Policy Ex iration Date: Dig Safe tl: .-� Name of Competent Person as defined by 520 C'MR 742): .NV`c -e WC\L- c- • i'+ice'`2.'_ •_ •.arz;`.�-'.ir.�r' _:.-t,. , `sue ? 4• .' - : ,. >v >3,. am.-t°�: .rv,: =��`A ,:` -- nr" x� .4.-.?. .,-;.v'.-.°s a.��y�1,—.,iv:, Ai_ -.E47.g,�tl,`..,-•w`h_i` -Fii c•375`?i.," I i _ `tirw ter'.. z' tc 41' .','-4t's Atx>: ' °;"=rvT.' ,-.,t.s _y'-, i}', - • - .;t: k' 1 k%:.:0,7 SwF._k 5 sa.?.$_'i'VS.:�`., _ — - .. . ;';yTh;:',;'} • fx.•`!,y ti.••Y.••3.3•-`.�•`.. - , ^•„:-.? +x - - N"-m :ie -#'.. i,^J '<$ ' }Rr; {} , 2. £ ,s �_''ti Vie`-' ", - _ - - - - $ -`0 4., - -;-• ...;; am .,?,,•••, • t ; r: : :'"e -- _ ., . _ ,. ,�,,= .>=F, per-, :Xi - 44 x"`i d 10 s`4. ':S" ',a.-Sys,"%S�''�k'<�s�r.3 f-. - 1r ' :ire `m-r • a t<;- r K>>. +Ar. s;: -..: ism "��'5 .., x^f. vi`P�tvt' ( t • > _e f _ r 'y vt`1vi. - ~ '," ueP.s > C :" _ _ -; '"4"� t14.‘" z- + js'e4-4ZP. c- �"ft'_ ':s ;:%`.: R : , - ",. ,,, _ n tha; • - -- - - - - - - . ; r ' =` z ,z ':�r _' _ -:,,..� -..,� .�fi.= •", :� - .. j Fy _ F f r c$'i.: z & 1""_ A :s .,,xis.= p s: -• - t. -aa-.: J, l.�y s' 8'Li$skx�-�Ti,{.?5br{t ,#`,. x:i-'''"'''i't. t.�'*: q4;�-'. E._ - 5 W._ -`t*� ..., 4 ;. ._=F.':.r� ,'C�'ikt.RT` _ �'."ka x.sv: - '-�..,"�''.s.y..n - `" _ i c Y ` - t 'i- l• ' - :, YY.,i.9 J�".ty y. >sr = ».. _ .-. - - , °L.- - - .F a ej d• 1 t::: :t;r 's._. } :,. ;,, R : .. - - -.:: • - yTVy�,� p '�t, - .. .... ti-# �-.��t� t - ;§r'u'Y'. - ,t`3�" ry ' y'z �' t ,,f,-F�Ld4 'f.S,'if�, _ t€,aia`-.;? ... p \ -7 ,7,1 _ _ -;-- ee �' • :� e,:iYt• 4 .S e' �f_ - _y,�Y4'f.x.�.oa.4�`4..._ - .§". .a• ..' t�` .x,- .&:�'4,j>. . ;.'i' :r S•_k.,.r..-s.;r4s ,a ,"'fa' ,t>"' :i`6F _ - 'a-.:;;s`: _ _ ;z:?.,: xr1?,F 3' �r✓A '+r - - f }: 4ri. 'b'f - ,y v� - - >-•a'£�, ,:,'.` 1 '''.4 ,was �3v. '...iv :N,t.''AA. :,113 br 4 };•."' „F _ -z - tt::.✓" ', ry i• i'.- �... +� 8. �;'.�''u ,: - ..(:"- '`�"t: t-. n. �-' •.i` ; -Yta - -1,,t " F y"F rr - 'L, iss,' 4i '`:12 -'+..�§..-- s,Fs= ter,.»- •',:" _*: ,-,° F %*` " p_ �=�p t` 5 ..9 - . -_ fe z3Faa:dT'S,.vr. s!3 _ . ry � : y - -.i-_._c _ : - > , .. .._ �. s.- - >2( _ .ti w'.- -m��. .s �- ,,4 v7 r- ; ; �5 s a > >:��."" �� <'."�' :,ter.-.. n