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PERMIT APPLICATION' V :.. <br />BUILDING MECHANICAL PLUMBING <br />UWNtN MAIL AUUNtSS ZllPIP- 11HUrvt <br />ri-a <br />ARCNITE T ROESIGNER WIL AUDli E55 PI/ONL LICENSE NO. <br />��: �, � _ .a• ' <br />o`: <� _i5 <br />GENERAL N FACTOR MAILADORESS PHONE LICENSE NO. <br />11 If • <br />MLCHANICALCO14TRACTOR MAIL AODRESS PHONE LICENSE t10. <br />Y laT '. <br />LIL 1JE <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />• <br />CLASS OF YJ *F1 <br />NUMEER OP STORIES <br />❑ BUILDING ❑ PLUMBING O MECHANICAL <br />BASL1-ENT <br />{�J NEW ❑ADDITION, ❑ALT'EP.ATION ❑REPAW <br />VALUAIIONCF'.YORK <br />❑DEMOLISH ❑FENCE ❑LIGN ❑SWIhi1,CNG POOL <br />S <br />OCSCRISEWORK . <br />1f <br />PROPOSED LSE <br />- <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COP ESP i <br />LOTBLOCKOF I •T-' .^C l \ N-V F1V(Z S-I ' <br />JOB ADDRESS <br />PLUMBING <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑NAS• ❑LPG. PLOT PLAN <br />NO. TYPE OF FIXTURE OR ITEKI <br />NO. TYPE OF EQUIPMENT <br />Draw plot plan <br />WATER _'_CSET (TOILET) <br />AIR COND. UNITS-H.P. [A. <br />--'— 011 back side. <br />BATHTpS <br />REFRIGERATION UNITS-H.P. El. <br />LAVI•T2 RY(WASH BA -,;NI <br />BOILERS-H.P. EA. <br />Sllov.E� <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />KITC`+F':-INK & DISP. <br />FORCED AIR SYSTEMS-B.T.U. hi EA. '- - - <br />DISH'AA5'ER <br />WALL HFATERS-B.T.U. M <br />LAULC;Y TRAY <br />UNIT HEATERS-B.T.U. M <br />CLOT�:,tNA511FR <br />EVArORATIVE COOLERS <br />I <br />IVATER'EATER <br />CLOTHES DHYCIIS <br />VENTILATIONFAN <br />DRIT: �I\� FOUNTAIN <br />` <br />FLO0--5:\v, OR DRAIN <br />RANGE HOOD I Tc' <br />ERS <br />AHT HANDLING UNIT- C.F.M. <br />AIS5-IIAINLEADERS <br />INCINERATOR <br />LAVV'-'3;EAK <br />RVICE-BAR, ETC.) <br />SIDE YARD SeTGACK S1'FILET SLTUACK HEAR YAR/OTSETBACK <br />USE ZONE LO' AREA VACANT SITE 'UIO RAC R inUT HATE <br />% J <br />--•ON <br />❑ YES ONO rEES .%dT •, ,�-"`.+-. <br />(LCUYANGY GROUP I <br />TYPE OF COhST. UNISDWi LLING PLAN C I(1 1;� VALUATI0N'ngJ0'j <br />lf/ <br />BLDG PMT �,CCO) <br />512E OF BLOC, �JO. OF STORIESI MAX. UCG LOAD <br />MECH PMT PLAN CK NO_"_& -S'. '- <br />PTA PMT <br />FIRE ZONE IASYM NT FIR(: SPRINKLER <br />R Ii OUII1Ep TOTAL <br />n�c�%� <br />❑YES 19NO <br />