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<br /> ����� ���5 , ADDRKS 'ERMtT N_ 2174
<br /> ��s��ea�'��4 F �NOk� NO. .3�go _ �fao�-��/h 6 cY/' PHONE NO. �L . —
<br /> ���.��� Addttion or Subdivision
<br /> ,;���� a�c. No� Parc�l No. lot Block
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<br /> m��s'�,"y i� ✓� O•-�
<br /> � '�t 6UILDIhi3 LOCATION VENTILATION D 11�iHT
<br /> � a x i LAND DESCWrTIO
<br /> < < . ''' Di:. From Road Percentage of Floor Area Vent.
<br /> ��, �a Sizs of lot
<br /> �+ � Land Sq. Ft. Di:. Side: Percentage of light to Floor Aroa
<br /> �`�` LINTELS
<br /> d��y� � El�va4ion Dis. IIack $pan
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<br /> �,,� �'�'' Droinaye Size
<br /> '� loca4ion
<br /> �����a a� CQ�1�TR6lCTICAi WELL TYPE
<br /> �? �`��. Frame Brick, Solid
<br /> x' � '�;� Brick Vsnesr Construction
<br /> _ ;� _: Stuao
<br /> -'�, ��,�'� Cem�nt Block Location
<br /> � a ,��� Stone SEPTiC TANKS OR MUNICRAL HOOKUP �
<br /> ti fOOTitdQiS
<br /> �'`�� � Leask D�pth Size
<br /> ,;; � � aP Distance From Well
<br /> =ry �+� •� YVidth Belov�r Grad� Construction
<br /> .� �`,� ,� .
<br /> " *�� ` FO�iN�f6'1'lOPi-Construction Size
<br /> , ,, F DRAlPiFIELD
<br /> v;� ',m '
<br /> r ,,�"�?` Depth Distance From Well
<br /> '` Distance From Lot Lines
<br /> ,,�.r��� Fl�r Width
<br /> .�,,Y,� ; Ground Drainaye
<br /> �+�'"` B�a�ing PQsts Size Spacing Leng4h
<br /> -��'� : �aens Siz@ Span PLUi�i�ING FlXTURES
<br /> l���' '� NO. OF FlREPLACES Garbage Disposal Dlsh Washer
<br /> �:��� � � �`� ��S Sinks Shower
<br /> ,,��'�" � No. TYP° laundry Toil�t
<br /> �4���a Fovndation Bath Tub �a�a�ry
<br /> �--*z Height Abov�Roof
<br /> ��, `
<br /> "�� Smok�PipO—Distance From Joish ���f,p�t C�O�i h
<br /> �;� � k, ��o r� �•��`�
<br /> Ki�!� � . r�—� /
<br /> ` ��: Sub Florrin� �`�P��TI)U� � -
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<br /> i� .loists Size Span �rl�.� ��Q O 4
<br /> '��:�` Bridpiny
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<br /> �� Bsa�inq
<br /> ��� '� � ST06DDINOf RAFTERt CEILING JOISTS
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<br /> ,� Siz� Siz� Siz�
<br /> �`'� ' g+ Spaein� Spacing Spacinq
<br /> '�' "` Platts Spa^ longest Span
<br /> ���. Brocin�
<br /> ' ��t.�'''� � �YT�
<br /> ��� : . ��
<br /> ��•k Bas�m�nt — No. Siz� Stairway Dat� ����
<br /> `"�"```;' ` ls4 Floor — No. Sizs Stairvvay Bldg. s �'� Plumb.S S�waqs =
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<br /> ` {6+�5ULATki�1 — Ceilinq Walit Stte Examination S Well s Torol s�_
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<br /> '� �. � PLUMBER WE�L DRILLER —
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<br /> t�,au� �+ ��� ADDRE
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<br /> �:�' S�iEit COCVTRACTO�
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