HomeMy WebLinkAboutMiscellaneous - 1423 SALEM STREET 4/30/2018 (79) Lot & Street l off 3 Map/ParcelA A6
CONSTRUCTION APPROVAL
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Has plan review fee been paid: YESNO Permit#
Plan Approval: Date: Approved by:
Designer: Plan Date: y13616
Conditions:
Water Supply: Town Well
Well Permit: Driller:
Well Tests: Chemical "� ,Da e Approved
Bacteria I Date Approved
Bacteria II Date Approved
Plumbing Sign-Off: Wiring Sign-off:
Comments:
Form "U" Approval: Approval to Issue: YES NO
Date Issued By:
Conditions:
Final Approval:
All Permits Paid? _E NO
Well Construction Approval? YES NO
Septic System Construction Approval? `L 0
Certification? YES O
Other? YES NO
Any Variance Needed? YES NO
FINAL BOARD OF HEALTH APPROVAL:
DATE:
APPROVED BY:
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