HomeMy WebLinkAbout2005 Sign off Transmittal - 3 Bdrm Home • 4. of TOWN OF YARMOUTH
(OFFICE USE ONLY
ooL 4, Building Department
1 r.N _ l= Town Hall Recorded By: lc
Yarmouth, MA 02664` Permit Fee: $0.00
,ram (508)398-2231 ext.261
Deposit Rec: $50.00
• B
BUILDING PERMIT Payment Type: Check ChkNo.: 639
Net Owed: ($50.00)
TRANSMITTAL Application Date: 9/29/2005
Issue Date:
Temp Permit No.: T-06-152 Expiration Date
Applicant Name: Mark Robinson Comments: Map/Lot: 117.2
Applicant Phone: 5087602732 new construction: /Wcte //7 iid,-
Building Location: 00300 WEIR RD
Owner's Name: Mark & Deanne Robinson
Owner's Addres 23 Tasmania Drive
Yarmouthport MA 02675
Owner's Telephone: (508) 760-2732 , ` P r727.)`' r
OCT 1 4 2005
REVIEWED BY:
HEALTH DEPT.
1. WATER DEPARTMENT: DATE: N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3. CONSERVATION: r, DATE: N/A:
4. HEALTH DEPARTMENT: ) 0- Gd DATE: /�•3 7< N/A:
5. BUILDING DEPARTMENT: ' DATE: N/A:
6. FIRE DEPARTMENT: DATE: N/A:
PLEASE NOTE
COMMENTS:
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RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE:
Date Printed: 10/6/2005