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1403 - Suite 210ADD RE55 tJ 4YN ER 6GCUp AtuCY 1403 Me dical Plaza Drive W ##21 Hospital Corp, of America Certificate of Occupanc ? 3 FGA €_ °ESGRIAY ;°N Date Approved: +Si See Master Card Sub. Reg's, A pply: Y es No BUILDING RECORD BUILDING: 4 -22 -87 Permit #21677 _,,,, Final Inspection Patten Construction FEES: Interior Remodeling to i _� Development Fee Existing Commercial Bldg ( Streets Paved Unpaved (125,000) Street Paving Fee UTILITIES: Water Lines Meter Set Sewer Lines Sewer Tap Storm Sewer ENGINEERING /PUB. WORKS: Drainage Street Paving Street Name Signs Street Lights ( avea } Maintenance Bond PLUMBING ELECTRICAL MECHANICAL 4 -29 -87 Permit # 2256 5 -8-87 Permit # 11574 CONTRACTOR CONTRACTOR � CONTRACTOR Mack Gamble Plumbing Dewey Gray FIXTURES FIXTURES FIXTURES Fixtures - 19 Alteration INSPECTIONS C INSPECTIONS INSPECTIONS ROUGH IN f g - �_• ,d.� �:� a ROUGH IN ROUGH IN FINAL �.�, FINALE.'.!