HomeMy WebLinkAboutWater sign off 5/17/23 ' ° rt��N �,� �.Nki( n I RECEIVt:o
o WATER DEPARTMENT `— --
MAY 2
o,- �• t Hi. .. I 3 2023
BUILDING DEPgRTMENT
Bt'ILDI\C1 PERMIT _APPLI( . l'ION FOR
V1 A I ER DEPARTMENT SR;\ OFF
TRA.NSMITTALFOR�I
HI II DING SITE LOCA"I ION: •7130cti7 ., ...._ ._I S6n j r
d,
PROPOSED WORK: t V vb tklbroAIPI
ICANT:ScJIMMit7 t iddl OA 4.4E 41!. c+cs..-t
AI)1)RFSS: L,, nv-ci cr?S . rd?
IFLPIIO\E: 9,A --77�. �1�,,
RESIDENTIAL AND OR COMMERCIAL BUILDING C irryliiip,rd 164 EX ,j1°}))e 1 S.
Water Department: I)etennines Compliance of Water Availability and or existing location
Engineering Department: Determines Compliance for Parking and Drainage
Conservation Commission: Determines Compliance to Wetlands Act: i_c !lions)border any type of
vyetian:ls, streams.ponds,riNers.ocean, bogs, hens, marshland. ETC...
I ealth I)epartment: Determines Compliance to State and Town Regulations, i.e.
requirements for Septage Disposal and other Public health Activites
`Cpre I ,artme t: I)ct • nni Compliance to State and Town Requirements for Personal
1; Saf y 'r'>perty Protections. i.e. Smoke Detectors. Sprinkler Sy°stems,etc
...-------- S 17?7). —3
. PPI c" NT ' .NATuRF. DATE
( FIIC" ; SE: CONINIEN I e+ ON PFR011 I k I'PRON'.1I OR I)FNI U.
RIV"IF\ I I> BY WATER DIVISION(SIC;\.VIURE) I) 1..1 F
„....
/ 2 -/ - 3
--i -5-- `
, \_, „
SERVICE NO. 13751
Ernest J 'rovers
7-2
NAME ' 3-30-2000
/ /1*) :,, .C-?-‘2.-• N----Gi/i r.;SeAe,4Z)=e--3
STREET 05;)14 e
VILGE (g./e..:071-• •
L ' e/Vevi-72
/
METER NC. /i,3) 57
--- ol. 414 ferd; IA i' aqi-•
7.... _
/
,....
--..„
........_ _____ ...._ ......_ , 1
t -I
) I
I I I
i
I I
1
1 A 1 I
1 1
, _ .....Th ....
/ \..Y- , ( /
:
r
r '",;ra
'l[Af;d . �._.�.�-,`�-4 �/ 1
E ud // r' ��.��
GP isg ,
14 4, '-3 ,.-, ' y.,
( d t <_ ?IN"7Ak J! ! er
Pc♦z...ad$t 1 5 ;`Fri° `± it /
t t �,t 7 / .
/
.g;a:1 J / // 1 171t
f`� J I�/,, trt.ur i,� / / /
1 //ffy'/ / / i
f rasa 1 }>Fr,� //,,,: f*rv.i ' i /
l ' /� X�-, /i /__- - \I-
r
; 4.; 4'essis">\;i5:29"---f' .‘-'.-
i i I '
� / l i
ti 1 Cy`, A / 1/ /f //% /,/,`r
Lqr S // / -_f 1/1 r _ i /
.. s / i / j 1 .
-..-/ 1/ /IA7 ;//i /j /f *
3 't /� / R.�f /- / / / /
/ 11 �� 1 /1yLf•/r /y[��eES
// �� �i /v//� /wQtry/ '7u'
/ / ,.../t -/zr / / "'. ,...;;A.
" )to /� ��.-`4 i r i IIs, ./ j �
1/� rtiji4-:rF(A,E+1
419.), :—1,icr s4S(4, ,L7)‘'.:):17.'''. '''. '—
il ,/''%'r:;'""u
iile3 'AI dew'?cape Cn9rneer'if ire. ' c r," °' /,
�i r 1
S�1geS .
ta.s oes y �r ,.,�- E �
IZ'E is Yeer t.irg,m4 E z,
7 / '— _-max
...z.,; t-I. CALF_1p,c-_ CsA
ir 1:. &O