HomeMy WebLinkAboutBLDC-23-58 Town of Yarmo ii Bu11 ink Department
�, --- 1146 Route 28, South Yar { o &J*14; i4'tel. 508-398-2231 ext.1261
�Use and R100 , L t i pplication
In accordance with the provisions oThitiAas5a,chdigtis State Building Code, section 105.1
Application for a certificatetbfuse and occupancy permit
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Name of Business i)/ ,/J/) Ca/) rem/S1r Sort))(�Kz.s Phone # 5g J 9 g 3S-1
Type of Business an fa 744 r kI ai/' C 0 1/I elii Email , Q/.4v4004 CU/l(''al vbr
services,scot
Property Address /d -/ L/ ,7LeS I'7 50A--/0V.172e 1� 1114 Unit U. / a-1 )
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*Square Footage to be occupied 78/ *attach floor plan Fee: $60
RECEIVED
The applicant is required to obtain approval sign-offs from the following depar menus as
checked off below: SEP 15 2023
X Health Department— 508-398-2231 ext. 1241 t BU D(NGj NT
By
X Fire Department— Fire Prevention, 96 Old Main Street, 508-398-2212
Other
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Building owners Signature Applicant Signature
Please note: this permit is for use and occupancy only. Any work requiring a building permit
will require a licensed contractor to submit an additional application with all the required
information based on the scope of the project.
**Office use only**
Zoning District ( Proposed Use Change of Use: Yes X No
Allowed Use: Yes iNo APD Waiver: Yes No7KN/A
ui ng Officials Sign ure Date
Updated 3/21 / 3 vSe
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