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IpERM{T ION <br />BUILDING BUILDING MECHANICAL. <br />PLUMBING <br />OWNEH .� MAIL AUUHESS ZIP <br />I'HUNE <br />�5�-7•���a� <br />A14CHITLCTOR DESIGNER MAIL ADOHESS PHONE <br />LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE <br />LICENSE NO. <br />���FT3s-3 <br />�/6 i <br />MECHANICALCONTRACTOR MAIL ADDRESS PHONE <br />LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS - PHONE <br />LICENSE NO. <br />CLASS OF WORK <br />NUMBER OF STORIES / <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ' <br />BASMENT ,UG <br />❑NEW ❑ADDITION• ❑ALTERATION <br />REPAIR <br />VALUATION OF WORK p <br />❑SIGN ❑SWIMMING <br />❑DEMOLISH ❑FENCE <br />POOL <br />DESCRIBE WORK�/J <br />F%vr GvrRy �� <br />�,Pi/AL <br />%/D/•v�• <br />PO,(/T <br />F_P-aaF eEPLAc— <br />k"-;& <br />Y�"k'Cli/ <br />x '5;0TTE:C'S <br />: <br />fLt <br />PROPOSED USE <br />' <br />LEGAL DESC-IPTION OF PROPERTY (SHOW BELOW OR ATTACH - <br />FOUR 'CON ES) <br />LOT10L. BLOCK_-OF�LCt:/ <br />- O <br />'V 72 <br />JOB ADDRESS <br />PLUMBING <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAS• ❑LPG. PLOT PLAN <br />• <br />. IPMENT <br />NOTYPE OF EOU <br />Draw plot plan <br />NO. TYPE OF FIXTURE OR ITEM <br />AIR COND. UNITS-H.P. EA. <br />back side. <br />WATER Z:CSET (TOILET) <br />REFRIGERATION UNITS-H.P. EA. <br />On <br />BATHTI:E <br />LAVATZ-Y (WASH BASIN) <br />BOILERS-H.P. EA. <br />SHOV.'i <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />KITCH Z'. SINK &'DISP. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />DISH%l-t-ER <br />WALL HEATERS-B.T.U. M <br />LAUNOZ. TRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTMEE MASHER <br />EVAPORATIVE COOLERS <br />,- <br />WATER -EATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINK:•.3 FOUNTAIN <br />RANGE H000 <br />FLOO;-S.NK OR DRAIN <br />VACUL".'=BEAKERS <br />NIT- C.F.M. <br />ROOF C-AINS-RAINLEADERS <br />SINK (SERVICE -BAR. ETC.) <br />v" :co 01 LY BELOW <br />5EA <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YAUSE20NE <br />LOT AREA <br />VACANTGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />OYES ❑No FEES <br />TYPE OF CONST. OCCUPANCY GROUP NO. OF OWE LLING <br />UNITS PLAN CK <br />VALUATION <br />BLDG PMT <br />SIZE OF e100. NO. OF STORIES MAX. OCC _LOAD MECH PMT I <br />PLAN CK NO <br />PLBG PMT <br />f IRE ZONE BAS M N R[o UIRL'DK LERS TOTAL <br />DYES ONO 1 <br />