128l ADDRESS AMINFIY'' a •,ClK v da MS DCCUPANCY
12 Club Rd. F.H.A. Certificate of Occupancy:
L EGAI. DESCRIPTION
Lot 12, Blk 1, Country Club Manor, Unit #3 Date Approved:
• BUILDING CONTRACTOR
R eg 's. App es o
BUILDING RECORD BUILDING:
Final Inspection
4/25/67 - Permit 4429 (Adcock) FEES
Reroof and replace two(2) windows of S/F
dwelling ($500.
Development Fees
Streets Paved unpaved
3 -1$ -76 Permit X11$29 Street Paving Fee
Owner -Erect Utility Bldg. (12 x 16) UTILITIES:
($500.) .� , Water Lines
Meter Set
Sewer Lines
Sewer Tap
Storm Sewer
ENGINEERING/PUB. WORKS:
Drainage
Street Paving
Street Name Signs
Street Lights
Maintenance Bond
( DYER
CONTRACTOR
FIXTURES
INSPECTIONS
ROUGH IN
FINAL
PLUMBING ELECTRI L
3- 18--86 Permit 005
TRACTOR CONTRACTOR
XT FIXTURF S
E . -8- ------------------------
3-20-86 permit # 10960
L & E Electric
C.O.S.
5-P-pj (, - o-.o.s _ &&- -(-
MECHANICAL
INSPECTIONS
INSPECTIONS
ROUGH IN
ROUGH IN
FINAL
FINAL
MECHANICAL