Loading...
HomeMy WebLinkAboutWater sign off 3/1/22 86)2-23- 1 072-I $/ et WATER DEPARTMENT " -.q fu' BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMIITTAI. FORM BUILDING SITELOCATION: 1 7 .tr. t.,-1 ' '-.1e.. PROPOSE E) \V'©Rh: nfi ��� APPE,IC'ANT: _.-1 � 1i/ '/ 1 i112 V ?y L S ,-- i..71./1-' ADDRESS: -.___6 3 0 _. X ge1 d, J TaplioNE: _....7..e) cs.----y - 5 770 ( Z5X-176 RlSIDE\IIAL AND 'OR COMMERCIAL BUILDING p6-/,/ y iftc.cie, �;1Y,.-� 1Vater Department: Determines C'c+rnplrance of Water \crailahalttt and or existing location �'�' I I:rtwaineering Department: Determines Compliance for Parking and Drainage Caaaaxcc‘ation C"oinmisaon: Determines Compliance to Wetlands \et: i.c. If lott.ti)border any type of wetlands.streams_ponds,rivets_=;eean. hogs hots,ntarshlancl. h IC. . I Icaith Department: Determines i'ompiiance to State and Town Regulations, i.e. requirements liar Septage Disposal and other Public I lealth Activites Eire Department: Determines Compliance to State and Town Requirements for Personal 1 Safety, Pro ,)ti Protections, i.e. Smoke Detectors. Sprinkler Sti'stems,ete 1 ,,,,i, I /(?c..?-- OF 'ICE I 'F:: CONI1lFATS ON PER%II I APPROVAL OR DENIM. 1 e fC #r— 4,4 4 S ruP . ,/k�P+ t1,r... -' /a��,e-07 aIV jI/.6I r�'r f/,f i(J n-- CaimPr r 4-et_4iivy N' ci Pile c (41— „,,/z/.2,7 RF.VIF\VI j) 13 , VAI'ER DIVISION(SIGN tl URI%) 1)AI F: