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HomeMy WebLinkAboutBCOI-24-61 I4(YA�. TOWN OF YARMOUTH � o Office of the Building Commissioner f� > �' 1146 Route 28, South Yarmouth, MA 02664 y'' 508-398-2231 ext. 1260 Fax 508-398-0836 � HATUCML[SE- 7 4c°RPORATE0' '----- APPLICATION FOR CERTIFICATE OF INSPECTION March 1, 2026 PAYABLE UPON RECEIPT (X) Fee Required$550.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for a Certificate of Inspection for the� below-named(� premises located at the following address: Street and Number: ) `l, E.1 CS P�, Name of Premises: k . q c K.1 h D, 14N A Tel: & - I°vg (g y. Purpose for which permit is used: License(s) or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be issued to EA4 50.,\s,,\- il.p.,oc Ritu.T-1+ Tel: o$ 39's G`i 4 Address: . - S ate\ SD,a (-I yqv, ,,,,- Owner of Record of Building ? OS IN ts)Wk hAL01/ Address J Sou 4- r+� A r- yn,,n,m„1sl., Present Holder of Certificate R))/14A Z'ack,,i, e,.�c , Ru (3 V-i n 0) 1,...yL t c OA Signature of person to whom Title Certificate is issued or his agent ` - S'- .o Q e9 \ ` Date Email Address: Ir p�O v� h\i in a rr2 ckc�c,i& r Q r q S 1's.0©ram Instructions: Make check payable to: Town of Yarmouth 1146 Route 28, South Yarmouth, MA 02664 Return this application to: Building Inspector's Office Please note: Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. Application must be received before the certificate will be issued. The building official shall be notified within ten (10)days of any change in the above information t, wall APPLICATION x t. yr. . � . Certificate of Inspection# BCOI-24-61 04/01/2026-04/01/2027