HomeMy WebLinkAboutPermit Application 2018TOWN OF YARMOUTH
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location:Kt
Proposed Improvement:fr nnttn
Applicant Tel. ).1o.:
Date Filed:Address:
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Owner Name:
Owner Address:Owner Tel. No.:
RESIDENTIAL AI{D/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to.State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit'three (3) copies of plans, to include:(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(atl existing and proposed) -
Note: Floor plans not requiredfor decks, sheds, windows, roofing;(3.) Ifnecessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY:A t /\-1 4 DATE:O'----u
PLEASE NOTE
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