Commercial And/or Residential Permit Forms Page 3
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12CITY OF MYRTLE BEACH
TRADE PERMIT APPLICATIONS
PLUMBING PERMIT APPLICATION
ELECTRICAL PERMIT APPLICATION
NO
TYPE OF FIXTURE OR ITEM
FEE
NO
TYPE OF FIXTURE OR ITEM
FEE
WATER CLOSETS (TOILETS)
RECEPTACLES
BATHTUB
SWITCHES
LAVATORY (WASH BASIN)
LIGHTS
SHOWER
RANGES AND OVENS
KITCHEN SINK AND DISPOSAL
DRYER (CLOTHES)
DISHWASHER
WATER HEATER
LAUNDRY TRAY
AIR CONDITIONER(S)
CLOTHES WASHER
HEAT
WATER HEATER
SUB PANEL
URINAL
TEMPORARY SERVICE
DRINKING FOUNTAIN
COMMERCIAL OR RESIDENTIAL METER(S)
FLOOR DRAIN
PERMIT FEE
UTILITY SINKS
TOTAL FEE
ICE MACHINES
CONTRACTOR:
GREASE INTERCEPTORS/OR TRAPS
ADDRESS:
VACUUM BREAKERS/HOSE BIBS
CONTACT AND PHONE:
SEWER
TOTAL JOB VALUE:
PERMIT FEE
CITY LIC. NO.
STATE LIC. NO.
TOTAL FEE
PERMIT NO.: E
DATE ISSUED:
CONTRACTOR:
ADDRESS:
CONTACT AND PHONE:
Signature of Applicant (Please Print Name)
TOTAL JOB VALUE:
CITY LIC. NO.
STATE LIC. NO.
PERMIT NO.: P
DATE ISSUED:
MECHANICAL PERMIT APPLICATION
NO
TYPE OF ITEM
FEE
CENTRAL AC UNIT/HEAT PUMP
DUCTWORK
HOOD INSTALL (BF PERMIT FOR SUPPRESSION
Signature of Applicant (Please Print Name)
SYSTEM)
TOTAL FEE
GAS PERMIT APPLICATION
CONTRACTOR:
NO TYPE OF FIXTURE OR ITEM
FEE
ADDRESS:
GAS HOOKUPS PER APPLIANCE
CONTACT AND PHONE:
PERMIT FEE
TOTAL JOB VALUE:
TOTAL FEE
CITY LIC. NO.
STATE LIC. NO.
CONTRACTOR:
PERMIT NO.: M
DATE ISSUED:
ADDRESS:
CONTACT AND PHONE:
TOTAL JOB VALUE:
Signature of Applicant (Please Print Name)
CITY LIC. NO.
STATE LIC. NO.
PERMIT NO.: G
DATE ISSUED:
JOB SITE:
JOB SITE ADDRESS:
TMS/PIN:
MASTER PERMIT #:
Signature of Applicant (Please Print Name)
Email:
No Subs
Subs (attach list)
May Use Subs (attach list)
Please check one:
Construction Services, 921 N Oak St, Myrtle Beach, SC 29577
Rev 7/1/16
Ph: 843-918-1111
Fax: 843-918-1158
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Parent category: Business