INSPECTIONS PREPARED 1/04/10, 13:58:30 INSPECTION TICKET PAGE 25
Harnett County INSPECTOR: IVR DATE 1/05/10
ADDRESS . : BRANDON DR SUBDIV: KEITH HILLS
CONTRACTOR THOMAS CONSTRUCTION & REALTY PHONE : (910) 893 -8950
OWNER . . : MILTON BUILT HOMES, LLC PHONE : (910) 303 -1967
PARCEL . . : 11 -0579- - -0173- - -
APPL NUMBER: 09- 50023462 CP NEW RESIDENTIAL (SFD)
DIRECTIONS : T /S: 12/31/2009 10:24 AM RDCONTE - --
KEITH HILLS 141 / BRANDON DRIVE
TAKE 421S TOWARDS DUNN. T/R INTO KEITH
HILLS S /D. T/R ON BRANDON DR. LOT IS
1ST ON RIGHT.
* ** *PREMISE ID: WAITING ON CUS * * **
STRUCTURE: 000 000 60X70 CRAWL 3BD /3BA W /GAR,DECK,FIN BN RM
FLOOD ZONE • FLOOD ZONE X
# BEDROOMS 3.00 PROPOSED USE SFD
SEPTIC - EXISTING' • SEWER WATER SUPPLY • COUNTY
PERMIT: CPSF 00 CP * SFD
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
B101 01 1/05/10 TI R *BLDG FOOTING / TEMP SVC POLE TIME: 17:00 VRU #: 001867472
I' Q1 T /S: 01/04/2010 01:31 PM JBROCK
COMMENTS AND NOTES
J
/ PREPARED'K /12/ 14:00:07 INSPECTION TICKET PAGE 36
Harnett County INSPECTOR: IVR DATE 1/13/10
ADDRESS . : BRANDON DR SUBDIV: KEITH HILLS
`CONTRACTOR : THOMAS CONSTRUCTION & REALTY PHONE : (910) 893 -8950
OWNER . . : MILTON BUILT HOMES, LLC PHONE : (910) 303 -1967
PARCEL . : 11 -0579- - -0173- - -
APPL NUMBER: 09- 50023462 CP NEW RESIDENTIAL (SFD)
DIRECTIONS : T /S: 12/31/2009 10:24 AM RDCONTE - --
KEITH HILLS #1 / BRANDON DRIVE
TAKE 4215 TOWARDS DUNN. T/R INTO KEITH
HILLS S /D. T/R ON BRANDON DR. LOT IS
1ST ON RIGHT.
* ** *PREMISE ID: WAITING ON CUS * * **
STRUCTURE: 000 000 60X70 CRAWL 3BD /3BA W /GAR,DECK,FIN BM RM
FLOOD ZONE • FLOOD ZONE X
# BEDROOMS 3.00 PROPOSED USE - SFD
SEPTIC - EXISTING' • SEWER WATER SUPPLY • COUNTY
PERMIT: CPSF 00 CP * SFD
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
B101 01 1/05/10 KS R *BLDG FOOTING / TEMP SVC POLE TIME: 17:00 VRU #: 001867472
1/05/10 AP T /S: 01/04/2010 01:31 PM JBROCK
No t pole up yet
T /S: 01/05/2010 02:37 PM KSLATTUM
A814 01 1/13/10 TI ADDRESS CONFIRMATION VRU #: 001870096
B103 01 1/13/10 TI R *BLDG FOUND & TEMP SVC POLE VRU #: 001870104
-,g afb V I °L e
COMMENTS AND NOTES
PREPARED 1/15/10, 14:10:36 INSPECTION TICKET PAGE 33
Harnett County INSPECTOR: IVR DATE 1/19/10
ADDRESS . : 58 BRANDON DR SUBDIV: KEITH HILLS
CONTRACTOR : THOMAS CONSTRUCTION & REALTY PHONE : (910) 893 -8950
OWNER . . : MILTON BUILT HOMES, LLC PHONE : (910) 303 -1967
PARCEL . . : 11 -0579- - -0173- - -
APPL NUMBER: 09- 50023462 CP NEW RESIDENTIAL (SFD)
DIRECTIONS : T /S: 12/31/2009 10:24 AM RDCONTE - --
KEITH HILLS #1 / BRANDON DRIVE
TAKE 4215 TOWARDS DUNN. T/R INTO KEITH
HILLS S /D. T/R ON BRANDON DR. LOT IS
1ST ON RIGHT.
* ** *PREMISE ID: WAITING ON CUS * * **
STRUCTURE: 000 000 60X70 CRAWL 3BD /3BA W /GAR,DECK,FIN BR RM
FLOOD ZONE • FLOOD ZONE X
# BEDROOMS 3.00 PROPOSED USE SFD
SEPTIC - EXISTING' • SEWER WATER SUPPLY • COUNTY
PERMIT: CPSF 00 CP * SFD
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
B101 01 1/05/10 KS R *BLDG FOOTING / TEMP SVC POLE TIME: 17:00 VRU #: 001867472
1/05/10 AP T /S: 01/04/2010 01:31 PM JBROCK
No t pole up yet
T /S: 01/05/2010 02:37 PM KSLATTUM
A814 01 1/13/10 FE ADDRESS CONFIRMATION VRU #: 001870096
1/13/10 AP T,jS: 01/13/2010 11:26 AM FBURGESS
;5: BRANDON DR, LILLINGTON, NC 27546 LOT 1
B103 01 1/13/10 #
R *BLDG FOUND & TEMP SVC POLE VRU 001870104
1/13/10 'A;•' Missing 2 inch projection for fron right side foundation
JON:. wall (of porch) Dig out and call for inspection
T /S: 01/13/2010 01:21 PM KSLATTUM
B103 02 1/19/10 T R *BLDG FOUND & TEMP SVC POLE VRU #: 001872191
( -1
COMMENTS AND NOTES
PREPARED 1/19/10, 14:28:29 INSPECTION TICKET PAGE 1
Harnett County INSPECTOR: IVR DATE 1/19/10
ADDRESS . : 58 BRANDON DR SUBDIV: KEITH HILLS
CONTRACTOR : THOMAS CONSTRUCTION & REALTY PHONE : (910) 893 -8950
OWNER . : MILTON BUILT HOMES, LLC PHONE : (910) 303 -1967
PARCEL . . : 11 -0579- - -0173- - -
APPL NUMBER: 09- 50023462 CP NEW RESIDENTIAL (SFD)
DIRECTIONS : T /S: 12/31/2009 10:24 AM RDCONTE - --
KEITH HILLS #1 / BRANDON DRIVE
TAKE 4215 TOWARDS DUNN. T/R INTO KEITH
HILLS S /D. T/R ON BRANDON DR. LOT IS
1ST ON RIGHT.
* ** *PREMISE . ID: WAITING ON CUS * * **
STRUCTURE: 000 000 60X70 CRAWL 3BD /3BA W /GAR,DECK,FIN BN RM
FLOOD ZONE • FLOOD ZONE X
# BEDROOMS 3.00 PROPOSED USE • SFD
SEPTIC - EXISTING' • SEWER WATER SUPPLY • COUNTY
PERMIT: CPSF 00 CP * SFD
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
B101 01 1/05/10 KS R *BLDG FOOTING / TEMP SVC POLE TIME: 17:00 VRU #: 001867472
1/05/10 AP T /S: 01/04/2010 01:31 PM JBROCK
No t pole up yet
T /S: 01/05/2010 02:37 PM KSLATTUM
A814 01 1/13/10 FS ADDRESS CONFIRMATION VRU #: 001870096
1/13/10 AP T /S: 01/13/2010 11:26 AM FBURGESS
58 BRANDON DR, LILLINGTON, NC 27546 LOT 1
B103 01 1/13/10 KS R *BLDG FOUND & TEMP SVC POLE VRU #: 001870104
1/13/10 DA Missing 2 inch projection for fron right side foundation
wall (of porch) Dig out and call for inspection
T /S: 01/13/2010 01:21 PM KSLATTUM
B103 02 1/19/10 KS R *BLDG FOUND & TEMP SVC POLE VRU #: 001872191
1/19/10 AP
B105 01 1/19//10 TI� R *OPEN FLOOR TIME: 17:00 VRU #: 001873272
-� A T /S• 01/19/2010 02:26 PM NTART
T /S: 01/19/2010 02:28 PM NTART
COMMENTS AND NOTES
PREPARED 2/04/10, 13:58:46 INSPECTION TICKET PAGE 23
Harnett County INSPECTOR: IVR DATE 2/05/10
ADDRESS . : 58 BRANDON DR ,SUBDIV: KEITH HILLS
CONTRACTOR : THOMAS CONSTRUCTION & REALTY PHONE : (910) 893 -8950
OWNER . . : MILTON BUILT HOMES, LLC PHONE : (910) 303 -1967
PARCEL . . : 11 -0579- - -0173- - -
APPL NUMBER: 09- 50023462 CP NEW RESIDENTIAL (SFD)
DIRECTIONS : T /S: 12/31/2009 10:24 AM RDCONTE - --
KEITH HILLS #1 / BRANDON DRIVE
TAKE 421S TOWARDS DUNN. T/R INTO KEITH
HILLS S /D. T/R ON BRANDON DR. LOT IS
1ST ON RIGHT.
* ** *PREMISE ID: WAITING ON CUS * * **
STRUCTURE: 000 000 60X70 CRAWL 3BD /3BA W /GAR,DECK,FIN EN RM
FLOOD ZONE • FLOOD ZONE X
# BEDROOMS 3.00 PROPOSED USE • SFD
SEPTIC - EXISTING' • SEWER WATER SUPPLY - COUNTY
PERMIT: CPSF 00 CP * SFD
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
B101 01 1/05/10 KS R *BLDG FOOTING / TEMP SVC POLE TIME: 17:00 VRU #: 001867472
1/05/10 AP T /S: 01/04/2010 01:31 PM JBROCK
No t pole up yet
T /S: 01/05/2010 02:37 PM KSLATTUM
A814 01 1/13/10 FB ADDRESS CONFIRMATION VRU #: 001870096
1/13/10 AP T /S: 01/13/2010 11:26 AM FBURGESS
58 BRANDON DR, LILLINGTON, NC 27546 LOT 1
B103 01 1/13/10 KS R *BLDG FOUND & TEMP SVC POLE VRU #: 001870104
1/13/10 DA Missing 2 inch projection for fron right side foundation
wall (of porch) Dig out and call for inspection
T /S: 01/13/2010 01:21 PM KSLATTUM
B103 02 1/19/10 KS R *BLDG FOUND & TEMP SVC POLE VRU #: 001872191
1/19/10 AP
3105 01 1/19/10 KS R *OPEN FLOOR TIME: 17:00 VRU #: 001873272
1/19/10 AP T /S: 01/19/2010 02:26 PM NTART
T /S: 01/19/2010 02:28 PM NTART
T /S: 01/19/2010 02:29 PM NTART
E207 01 ' 2 21 /05/10 TI R *ELEC TEMP SERVICE POLE TIME: 17:00 VRU #: 001879691
^-r- ^ � /0 OO T /S: 02/03/2010 03:46 PM NTART
COMMENTS AND NOTES
PREPARED 2/10/10, 13:58:43 INSPECTION TICKET PAGE 28
Harnett County INSPECTOR: IVR DATE 2/11/10
ADDRESS . : 58 BRANDON DR SUBDIV: KEITH HILLS
CONTRACTOR : THOMAS CONSTRUCTION & REALTY PHONE : (910) 893 -8950
OWNER . . : MILTON BUILT HOMES, LLC PHONE : (910) 303 -1967
PARCEL . . : 11 -0579- - -0173- - -
APPL NUMBER: 09- 50023462 CP NEW RESIDENTIAL (SFD)
DIRECTIONS : T /S: 12/31/2009 10:24 AM RDCONTE - --
KEITH HILLS #1 / BRANDON DRIVE
TAKE 421S TOWARDS DUNN. T/R INTO KEITH
HILLS S /D. T/R ON BRANDON DR. LOT IS
1ST ON RIGHT. i
* ** *PREMISE ID: WAITING ON CUS * * * *
STRUCTURE: 000 000 60X70 CRAWL 3BD /3BA W /GAR,DECK,FIN BN RM
FLOOD ZONE • FLOOD ZONE X
# BEDROOMS 3.00 PROPOSED USE • SFD
SEPTIC - EXISTING' • SEWER WATER SUPPLY • COUNTY
PERMIT: CPSF 00 CP * SFD
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
B101 01 1/05/10 KS R *BLDG FOOTING / TEMP SVC POLE TIME: 17:00 VRU #: 001867472
1 /05 /10 AP T /S: 01/04/2010 01:31 PM JBROCK
No t pole up yet
T /S: 01/05/2010 02:37 PM KSLATTUM
A814 01 1/13/10 FE ADDRESS CONFIRMATION VRU #: 001870096
1/13/10 AP T /S: 01/13/2010 11:26 AM FBURGESS
58 BRANDON DR, LILLINGTON, NC 27546 LOT 1
B103 01 1/13/10 KS R *BLDG FOUND & TEMP SVC POLE VRU #: 001870104
1/13/10 DA Missing 2 inch projection for fron right side foundation
wall (of porch) Dig out and call for inspection
T /S: 01/13/2010 01:21 PM KSLATTUM
B103 02 1/19/10 KS R *BLDG FOUND & TEMP SVC POLE VRU #: 001872191
1/19/10 AP
8105 01 1/19/10 KS R *OPEN FLOOR TIME: 17:00 VRU #: 001873272
1/19/10 AP T /S: 01/19/2010 02:26 PM NTART
T /S: 01/19/2010 02:28 PM NTART
T /S: 01/19/2010 02:29 PM NTART
E207 01 2/05/10 BS R *ELEC TEMP SERVICE POLE TIME: 17:00 VRU #: 001879691
2/05/10 AP T /S: 02/03/2010 03:46 PM NTART
T /S: February 05, 2010 02:00 PM BSUTTON
R427 01 2/08/10 VC FOUR TRADE ROUGH IN >2500 VRU #: 001879709
2/05/10 CA T /S: 02/05/2010 10:53 AM VBROWN
CUSTOMER CAN INSP WILL SCHED AT LATER DATE.
R427 02 2/11/10 TI FOUR TRADE ROUGH IN >2500 VRU #: 001881507
a-1110 L oots
COMMENTS AND NOTES
PREPARED 2/11/10, 14:01:31 INSPECTION TICKET PAGE 26
Harnett County INSPECTOR: IVR DATE 2/12/10
ADDRESS . : 58 BRANDON DR SUBDIV: KEITH HILLS
CONTRACTOR : THOMAS CONSTRUCTION & REALTY PHONE : (910) 893 -8950
OWNER . . : MILTON BUILT HOMES, LLC PHONE : (910) 303 -1967
PARCEL . . : 11 -0579- - -0173- - -
APPL NUMBER: 09- 50023462 CP NEW RESIDENTIAL (SFD)
DIRECTIONS : T /S: 12/31/2009 10:24 AM RDCONTE - --
KEITH HILLS #1 / BRANDON DRIVE
TAKE 4215 TOWARDS DUNN. T/R INTO KEITH
HILLS S /D. T/R ON BRANDON DR. LOT IS
1ST ON RIGHT.
* ** *PREMISE ID: WAITING ON CUS * * **
STRUCTURE: 000 000 60X70 CRAWL 3BD /3BA W /GAR,DECK,FIN BN RM
FLOOD ZONE • FLOOD ZONE X
# BEDROOMS 3.00 PROPOSED USE • SFD
SEPTIC - EXISTING' • SEWER WATER SUPPLY • COUNTY
PERMIT: CPSF 00 CP * SFD
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
B101 01 1/05/10 KS R *BLDG FOOTING / TEMP SVC POLE TIME: 17:00 VRU #: 001867472
1/05/10 AP T /S: 01/04/2010 01:31 PM JBROCK
No t pole up yet
T /S: 01/05/2010 02:37 PM KSLATTUM
A814 01 1/13/10 FB ADDRESS CONFIRMATION VRU #: 001870096
1/13/10 AP T /S: 01/13/2010 11:26 AM FBURGESS
58 BRANDON DR, LILLINGTON, NC 27546 LOT 1
3103 01 1/13/10 KS R *BLDG FOUND & TEMP SVC POLE VRU #: 001870104
1/13/10 DA Missing 2 inch projection for fron right side foundation
wall (of porch) Dig out and call for inspection
T /S: 01/13/2010 01:21 PM KSLATTUM
B103 02 1/19/10 KS R *BLDG FOUND & TEMP SVC POLE VRU #: 001872191
1/19/10 AP
3105 01 1/19/10 KS R *OPEN FLOOR TIME: 17:00 VRU #: 001873272
1/19/10 AP T /S: 01/19/2010 02:26 PM NTART
T /S: 01/19/2010 02:28 PM NTART
T /S: 01/19/2010 02:29 PM NTART
E207 01 2/05/10 BS R *ELEC TEMP SERVICE POLE TIME: 17:00 VRU #: 001879691
2/05/10 AP T /S: 02/03/2010 03:46 PM NTART
T /S: February 05, 2010 02:00 PM BSUTTON
R427 01 2/08/10 VC FOUR TRADE ROUGH IN >2500 VRU #: 001879709
2/05/10 CA T /S: 02/05/2010 10:53 AM VBROWN
CUSTOMER CAN INSP WILL SCHED AT LATER DATE.
R427 02 2/11/10 FOUR TRADE ROUGH IN >2500 VRU #: 001881507
2/11/10 DA 1. Where front outset at garage was not anchored per plan,
either provide engineering, or install a footing, call for
inspection, then install foundation for support. OK to
side /insulate. Do not side around front outset.
I129 01 2.12/10 T ' R *INSULATION INSPECTION TIME: 17:00 VRU #: 001882414
�fb A I• T /S: 02/11/2010 01:32 PM DJOHNSON
R427 03 2/1 /10 T FOUR TRADE ROUGH IN >2500 TIME: 17:00 VRU #: 001882422
T /S: 02/11/2010 01:32 PM DJOHNSON
COMMENTS AND NOTES
PREPARED'' 4/13/10, 13:58:35 INSPECTION TICKET PAGE 17
Harnett County INSPECTOR: IVR DATE 4/14/10
ADDRESS . : 58 BRANDON DR SUBDIV: KEITH HILLS
CONTRACTOR,.: T'OMAS CONSTRUCTION & REALTY PHONE : (910) 893 -8950
OWNER . . : MILTON BUILT HOMES, LLC PHONE : (910) 303 -1967
PARCEL . : 11 -0579- - -0173- - -
APPL NUMBER: 09- 50023462 CP NEW RESIDENTIAL (SFD)
DIRECTIONS : T /S: 12/31/2009 10:24 AM RDCONTE - --
KEITH HILLS #1 / BRANDON DRIVE
TAKE 421S TOWARDS DUNN. T/R INTO KEITH
HILLS S /D. T/R ON BRANDON DR. LOT IS
1ST ON RIGHT.
* ** *PREMISE ID: WAITING ON CUS * * ** c3 9 to 1 3
STRUCTURE: 000 000 60X70 CRAWL 3BD /3BA W /GAR,DECK,FIN BR RM
FLOOD ZONE FLOOD ZONE X
# BEDROOMS 3.00 PROPOSED USE SFD
SEPTIC - EXISTING' WATER SUPPLY • COUNTY
PERMIT: CPSF 00 CP * SFD
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
5101 01 1/05/10 KS R *BLDG FOOTING / TEMP SVC POLE TIME: 17:00 VRU #: 001867472
1/05/10 AP T /S: 01/04/2010 01:31 PM JBROCK
No t pole up yet
T /S: 01/05/2010 02:37 PM KSLATTUM
A814 01 1/13/10 FE ADDRESS CONFIRMATION VRU #: 001870096
1/13/10 AP /T /S: 01/13/2010 11:26 AM FBURGESS
58 BRANDON DR, LILLINGTON, NC 27546 LOT 1
B103 01 1/13/10 KS R *BLDG FOUND & TEMP SVC POLE VRU #: 001870104
1/13/10 DA Missing 2 inch projection for fron right side foundation
wall (of porch) Dig out and call for inspection
T /S: 01/13/2010 01:21 PM KSLATTUM
B103 02 1/19/10 KS R *BLDG FOUND & TEMP SVC POLE VRU #: 001872191
1/19/10 AP
5105 01 1/19/10 KS R *OPEN FLOOR TIME: 17:00 VRU #: 001873272
1/19/10 AP T /S: 01/19/2010 02:26 PM NTART
T /S: 01/19/2010 02:28 PM NTART
T /S: 01/19/2010 02:29 PM NTART
E207 01 2/05/10 BS R *ELEC TEMP SERVICE POLE TIME: 17:00 VRU #: 001879691
2/05/10 AP T /S: 02/03/2010 03:46 PM NTART
T /S: February 05, 2010 02:00 PM BSUTTON
R427 01 2/08/10 VC FOUR TRADE ROUGH IN >2500 VRU #: 001879709
2/05/10 CA T /S: 02/05/2010 10:53 AM VBROWN
CUSTOMER CAN INSP WILL SCHED AT LATER DATE.
R427 02 2/11/10 BS FOUR TRADE ROUGH IN >2500 VRU #: 001881507
2/11/10 DA 1. Where front outset at garage was not anchored per plan,
either provide engineering, or install a footing, call for
inspection, then install foundation for support. OK to
side /insulate. Do not side around front outset.
I129 01 2/12/10 BS R *INSULATION INSPECTION TIME: 17:00 VRU #: 001882414
2/12/10 AP T /S: 02/11/2010 01:32 PM DJOHNSON
T /S: February 12, 2010 02:37 PM BSUTTON
R427 03 2/12/10 BS FOUR TRADE ROUGH IN >2500 TIME: 17:00 VRU #: 001882422
2/12/10 AP T /S: 02/11/2010 01:32 PM DJOHNSON
CONTINUED ONTO NEXT PAGE
PREFARED" 4/13/10, 13:58:35 INSPECTION TICKET PAGE 18
Harnett County INSPECTOR: IVR DATE 4/14/10
ADDRESS : 58 BRANDON DR SUBDIV: KEITH HILLS
CONTRACTOR : Tk/MAS CONSTRUCTION & REALTY PHONE : (910) 893 -8950
OWNER . . : MILTON BUILT HOMES, LLC PHONE : (910) 303 -1967
PARCEL . . : 11 -0579- - -0173- - -
APPL NUMBER: 09- 50023462 CP NEW RESIDENTIAL (SFD)
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
T /S: February 12, 2010 02:37 PM BSUTTON
R431 01 4/13/10 RD FOUR TRADE FINAL >2500 TIME: 17:00 VRU #: 001906973
4/12/10 CA T /S: 04/08/2010 08:18 AM JBROCK
T /S: 04/12/2010 01:39 PM RDCONTE
CUSTOMER ROLLED TO 04/14/10
R431 02 4/14/10 TI(> FOUR TRADE FINAL >2500 TIME: 17:00 VRU #: 001908946
y -( ) {���. T /S: 04/12/2010 01:39 PM RDCONTE
COMMENTS AND NOTES
fi ak ® „o)'21”, (B�, s ,,,• Al+o I '
COUNTY OF HARNETT .
DEPARTMENT OF BUILDING INSPECTION
AND PLANNING /DEVELOPMENT
CERTIFICATE OF OCCUPANCY
This certificate issued pursuant to the requirements of Section 105 of the North Carolina State Building tU
Code and the Harnett County Zoning Ordinance certifies at the time of issuance this structure was in it;
compliance with the various ordinances of the County of Harnett regulating development and building,
01 construction or u� For the f Ilowin.I:- j
Use Classification: ""' ` PERMIT NUMBERS N . :.
Owner: " Building Permit No.:
1. 911 Address:^ . Ao L ug 4 - 4 t Electrical Permit No.: n '
r...
I j�JJ Insulation Permit No.: ,,p�'�/ ,h
zr R 1 r Cr G( (Piee Plumbing Permit No.: t U ,
State:
ilk .. Zip Code: _ Mech. Permit No.: C; , .),,�
1 CIO MFG. Home: 'ti
‘l'
® �� ��®!'y e, I y�,�?y/ y�ff� � �� y �y��
uilding Official ® �1
`7 `► V�`r 4 `7 _ :9• •S; *•
I � I 4,,,y � Nll p ,' ,.,,��1) 1� "Al wll� L �41�� ��$ T l )J IIN �l 1l 4
. ,,• ;.js• 'i,.f.;t•, i.. •',u :Y.•Sb ;' a• � .ye ,•n ;,C, t.i b:i C. - �1•i