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- car�sTRu���o� <br />PER�,�tlT APPLICATfON <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />ST Su.1 <br />4tfJLRALCONTHl1CTOH MAILAUDfiE55��L-i7-� VHONE <br />�%�-� �l�V�%U37',":�7L�� Z42fo IDIIPTa �� SC, `��'.357 <br />MECHANICA'�7�CONTRACTOR MAILADOf�ESS PHONE <br />�W/Vl.." • ' <br />. __......l.�ciblSL'..,....,. � <br />VERMIT <br />�COMOINATION <br />❑ 6ULLDING � PLUMUING � MlCMAhICAL <br />s L�5 ou , <br />OESCHIUE WORK <br />C-�c�v.. no- /j-r/d � <br />PROPOSEU VSE <br />LLGAL U65CHIPTION OF PHOPEfiTY <br />FOUR �CO�PIE51 <br />LOT..a� BLOCK—OFrp/�� <br />�oo nooncs; <br />z� 3 4�-t r'°` s,u <br />PLUMQING <br />NO. 7YPE OF FIXTUPE OR <br />L ADOR[55 <br />vl0li <br />; //� r�`i <br />�3 �3 <br />_L/11'- \/ ' <br />NSE NO. <br />LICLNSE NU. <br />❑NEW `,�AO�ITIUN ❑n�TElln�l(Iry �1�[{•/�ifl <br />❑�EM.OLISrt ❑FENCE ❑SIGN ❑'AVIMMut(� PUOL <br />OELOW UR AT7ACM <br />�. ... . . �rn i <br />)THER PERMITS OR APPROVAtS <br />�j RE ZONE � SPECIAL USE <br />�.VARIANCE � SI'.ORLINE <br />SE PA CHECK LIST REQUIRED <br />it YES <br />� NO <br />MECHANICAL � <br />TVPEOF ENERGY <br />• ❑r.n9 ❑EIEc. <br />NO. TYPF. OF [QUIPMENT FEE <br />' .Alfl COkD. VNITS-H.N. EA.. . ....—"'"'— 5..—•'— 1 ' <br />R6iRIGENATION Uk�f ; II V� [!w --r— <br />..._.._..'_ "_____""__'_'_"__.._L_—_i <br />[10�lERS 11.P.EA. I <br />FORCED AIR SYSTEM'.: R.T.V. ME�1. --~--� <br />. _ __ __._. ___"' "`_ L__— <br />I <br />SVACE b K'ALL HEAIERS � O.T.U. �— <br />UtvIT IIEATER,�. H.T.I,'. I <br />EVAVOHATIV@CUOlCHSJ —r— <br />L <br />CLOTHESOfiYkHS ' � - I <br />— .—:.�.__.—_--�_—'T <br />� SUMPS - 5[Y!A(iE PUh9P ' __ ���JGE HOpD • 4 � <br />—" _ <br />URINALS � AIR HAkDLING UNIT � , C.P.M. � <br />__"_'..__._--.'_._.. ...... .."'_ __"�'_"_"" <br />— -- 1 <br />VYAICH CLOti@ i5 � . . . _ . ...'"_'. ....... ..__. . . _ ._...._. . ..._ . <br />"'-'—' ' —' "— WnTER 11[ATER .... <br />Wn7EFl Hf.n7EH5 - ELECI'NIC ' _ _ "—'_'. .. . ._ . ._. _._y�_� <br />YJASH 6ASINti - ~— FAC. BVIl7 �IFCPLnCE W CMudNEv _ i <br />LAUN[)fil' IItAYS � (iAS, SYSTEId: NO OP OUTIl�.�15 -I �_ <br />' ' ..._ _ ..."'_" '_".__' _...... _ .....1-_ <br />� � :Ufl TO(AL 5� � <br />_ � _ ._—_'__'_ PERMIT 5 _�— <br />--- — � —'_— '_—� —TOTALfEF" 5 1 <br />SUU TOTAL � -. . . _..' '__'__— _�.___" ..�._ <br />PERMIT S T1115 PF.IVdIT pECOM11E5 NUI !. ANU VOiU 11 LVU11Y, Dii l:UN5Tf1UC <br />TOTAL FEE —'�—� TION nVrnbniZ[D is NOT Cp>dh1[NCEb WIi111N i�0 U�rs, oi� iF <br />_ coastnvcrvoN on woru: IS SVtf�'CNnCO 011 ADA�dDO�LU ror, n <br />NttAmTCR$�RVI(;E:IZF UIDG.SUPFI.Y$�7F Y[(lI0OOF170DAYSAT4NY�IMFA4TEiiN'OIIK�SCf�•.1!.1FNCiU. <br />���C�f��$� �1�/. �5 R� $'7JACri �itAHYAH�Sl7UnCA� I IICRLI�v CEfITIFY TIIAT I IiRVC REAU 41:0 EX/NdiN(O t1115 AP <br />V�ICATIpN I�ND KNOtY TNE $AAtE TU Ill TRUE A'JU COI:NCCt. 1Ll <br />rnnvisions or �A�V'i �NO :]ftl)WANCE$ GOVEil4�NG ����5 TYPE <br />...'-' """- _'_"" "" "_.,"_"'_'_" : OF WOIU: WILI UE CO�dPLIEU WIf11lV11tTNFR:;PFCIFI!b MFHEIN <br />U:iElONL LU7 AIt1.A VACANf SITk ; ON NOT, THL GIiAN:ING Of A PEHMIT DOE:: N07 PHE :VtdE TO <br />� CiNL' AUTIIpRIIY i0 VIOIA(L OH CANCGI TIIE YRpV1510N5 pf <br />' ❑YLS ❑NO � AN� Ol1�ER $TATE OR LOCAL I.i\1Y IICGVL�ITW(i COM:TIIUCTION <br />TYPC— OF CCWST. OCCVPANCY GNOVP M1O.OF UV/ELLING OR TMF PC(tFOHMANGE OF GONSiFIVG710N. <br />....�... : n • <br />SPLCIAL CONOIT IONS: <br />HEOUiIIlU YL.iNC114CnN� <br />❑YLS QNO <br />� FEGS <br />SEPA REV(E\N COhSPLETE � ❑YES ❑ NO <br />Conlotl p�onninq depf. <br />WIICAl1011A111�IlIlYY Y�AN{IHIlEl11YY ,wnov�o 4�1�i'41AKIYY <br />�� i. <br />� <br />[IUILUINC <br />FlUM111N1i <br />RSlCIIANICAI <br />OT11CIt <br />YC:NALTY— <br />TO7AL <br />L.la� /G_ L - 7� <br />�n n�n�.nc�r�r ' nnrr ^ <br />�'lAN 011l'� I h L <br />{�;[ �f1ECEIPt wf). <br />VALUATION <br />_ s _�— <br />SEC_J071N_ .._.... <br />f� <br />