HomeMy Public PortalAboutLEWIS AV_121.pdfC�ity of I .jee Island - ComrnUnity Develop�...!nit Dept.
Inspection Report
403 Butler Ave. - P.O. Box 2749 - Tybee Island, GA 31328 M INN
HTL RW,1
Phone 912.472-5032 - Fax 912.E 6.91539 60DE COUNCIL
B I R'
Permit No.
Date Requested
Owner's Name
Date Needed
Gen. Contractor
Subcontractor
Contact Information
Project Address
Scope of Work
Inspector
Date of Inspection
Inspection
Pass,
Fail Fee
Inspection — Pass 1:1 Fail E] Fee
Inspection Pass 1:1 Fail 1:1 Fee
Inspection — Pass 1:1 Fail 1:1 Fee
NS111
Tybee Island, GA
Location Address: -- - /, I., /,. � L (. /-J (' Release Date:
Type of Release: _Temporary V Permanent Permit#
'"IiJ
Electrician:
Phone #
Builder: Phone #
Owner:
Phone #
Location Address: Release Date:
Type of Release: Temporary Permanent Permit #
Electrician: Phone #
Builder: Phone #
Owner: Phone #
City of Tybee Island
Planning and Zoning Department
Lisa, L. Schaaf - 912-472-5033
Fax Transmission Result Re[
Dateffirne
Model Name
Machine Serial NUrnber
Line
Line I Name
Line2
Liiie2 Name
02-27-2015 04:14 PM
CLX-9352
Z94UB I ED5000221-1
City of Tybee
9127869539
is not available
is not available
Page [1 ] of [11
Job Destination Start Time Duration Mode Job Type Page User Result
26489 Georgia Power rele02-27-2015 04:13 00'59" 03 H-Tx W
ase/18888514411 PM
Location Address: ILI j �Ile , Release Date: -�7 L 7//"--
Typeol'Release: -Temporary Permanent Permit # 2L_:LIe0
Electrician: Phone # yd - 604 Y6,�/Y
Builder: Phone N
Owner: (jI 0_ct I Phone # 7V �R,,Se,
Location Address: Release Date:
TypeotRelease: -Temporary _Permanent lPermit:#
Electrician: Phone
Builder: Phone #I
Owner: Phone N
City of Tybee island
Planning and Zoning Department
Lisa L. Schaaf - 912-472-5033
LocalUser
WN
H-Rx: Host Rx M-S: Memory Save P-Rx: Poll Rx D-Tx: Delay Tx
H-Tx: Host Tx S-Rx: Secure Rx P-Tx: Poll Tx BC-Tx: BroadCast Tx
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