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Inspection Report
I City of Tybee Island
403 Butler Ave.
P.O. Box 2749
Tyliee Island, GA 31328
Phone: (912) 786-4573 ext. 114
Fax: (912) 786-9539
Permit No. n L1 . o 3 2.--S Date Requested C17 —
1 Owner's Name 3C k(x i-‘4. 2— Date Needed
LI - - ni--7 - 141- 09
1 Gen. Contractor te v\cl r , X Subcontractor
IContact Number .--1,---N -6- 3 (a -- 0 °I 3 1
Location I 1 15 LI . , u >?(D - CpraUs --gB U
- ii ) b , 1
Inspector Date of Inspection
1 Type of Inspection 4 in 6,) 1 ' i : r e_ <,--Li ,D I-)r25S-: 4 9 7.) ' .i< 1 c.., r\c.0 k 0 •. .
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CITY OF TYBEE ISLAND
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} BUILDING & ZONING DEPARTMENT
P.O. Box 2749
Tybee Island, GA 31328
Phone(912) 786-4573 • Fax (912) 786-9539
PLUMBING PERMIT APPLICATION
Date 7--lo ^ G i
Location of work(street address) 1/ks" 1/&,) ec)
Contractor eider,Je /6-ve, ,!7 jp,ec 71;o,n
Address of Contractor c 2 / N. 2e.111 C v,�t,./e✓ 4e< 57lo leflov,7,, C-<.
Telephone number of Contractor e.-1;•#g —_2 2 0-6
Name of Property Owner C&e--61 a !1. J G J 1 c n .71 ,---
Mailing address of Property Owner MS- w7 gC.) Y A eeS
Telephone number of Property Owner g5'6 ^ y 22 7
Date work will be ready for inspection, if known Fief 1-/J a Permit Number
Estimated cost of construction Q� S.0 O • Oq - 3 2.
XNew Work _Replacement Oil Gas Electric—
Backflow Preventor
Disposal Unit
Domestic Water Connection to Main
Drain Roof or Area
Drainage or Vent Piping
Fi ' _: - _ Number of Heads/Iklazzlcs' &j
Grease/Oil Trap _ ___.--
Hose Bib
Hot Water Heater
Icemaker
Lawn Sprinkler System
Plumbing Fixture
Residential House Sewer Connection to Main
Sewer Cleanout
Sewer Stub
Vacuum Breaker
Water Meter
Water Service Line-New Residence
Water Service Line-Replacement
Water Softener �j
t," Other ri r� 5,4 ppiet5� �'4z'()el, /{ocr
03/08/2005 11:37 5124996281 HENDPI< FIRE PAGE 01/03
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` ...: CHATHAM COUNTY
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i DEPARTMENT OF BUILDING SAFETY F
ETY
& REGULA T ORY SERVICES*
' 1777
e. - V.O.MY aura
sAVANNAM,ttEDRIVA surm.Yast .
Coved S.AndMrsen.OWO PAX S12-20141.101 Donald M.When,CYO
Dk<tat+or 912-201.4300 Ass1s10nt Oklatir
APPLICATION FOR FIRE PREVENTION PERMIT
rr-- PERMIT NO.
PROJECT ADDRESS Pis-- r, ,/'A/7 62 PIN 1110-' _
PROJECT NAME Gera/d1 Chwt.sr' 14),)/ n1SUBDIVISION .
COMPLETE DESCRIPTION OF WORK: -T l J ic,f( / ' 579,✓�S,S-v,,
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Check all that apply: 0 Sprinklers 0 Alarms re Suppression System 0 Under ground lank
VALUATION OE JOB: (Include labor, material,profit) $ 4775-47 c)- 4)°'
CLASS OF WORK: �'I11eu� ❑ Addition Alteration A Repair ❑ other
CONTRACTOR RESPONSIBLE FOR WORK:
NAME: l l ivi Y/l(, v 41 e'\ COMPANY NAME: /6iid.''* /` J/'' Pa d:e-`' i`>^
ADDRESS:.2-2/ /V 2 -1e-o le --- ,4v e e
CITY• s7'1-ei.�v✓D STATE;_ Oa- ZIP: 30(/.S 9
TELEPHONE NO.: q sf 7a22 0 C7 FAX NO.: fill -6-2":,/
,
I hereby certify that I have answered all of the questions contained herein and know the.sante to be true and
correct. All work performed under this permit must comply with State Law and focal ordinances. Further.
understand that any permit Issued,based upon false information or misrepresentaton provided by the
applicant. will b U and void and subject to penalty as provided by law and ordinance.
:- 7 /' ' J-6 -.�-_-
I.ice ed ContraotorlOwner v Date
W1/iw. i...44444..4M4.14Np P•FTOM+kYiapr..rrY4... 3r.i“.p:—.p4_5.4M4 **p...4P......0000.”.*,..
Permit No., Approved: - - --- Date;
Fee Due: a Fee Paid: $ Check No.:
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