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PERMIT _APPLICATION 6i <br />BUILDING MECHANICAL PLUMBING <br />OWNER MAIL AUUIILSS ZIP PHUNL <br />6'17y 51A7 �vyfssT 2 O� Nov zo <br />ARCHITECT OR DESIGNERMAIL AUDRESS PHONE LICENSE NO. <br />�/,4vyGOilL7 Co.-Yj 3 Z� S�"f'� ZSZ -!5"f 3 2-2-3-i9l -eAv/-FG-ZSl <br />GLNERALCONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PRONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS CRUNE LICENSE NO. <br />CLASS OF WORK <br />" <br />14UMBER OF STORIES <br />❑BUILDING ❑PLUMBING ❑MECHANICAL' <br />BASMENT <br />❑NEW []ADDITION. ❑ALTERATION REPAIR <br />VA LUATION OF WORKrr�� <br />. 7 Q(/ <br />❑CGMULISH ❑FENCE ❑SIGN []SWIMMING POOL <br />S <br />UESCRIGEWORK <br />C' Lb S a i�v ? >� /I /!-�a /a 6-oo 1, w 17;y de" <br />f' <br />PROPOSED USE <br />-- <br />LEGAL UESCP.IPTION OF PROPERTY (SHOW OELUW OR ATTACH <br />FOUR COPIESI <br />_ <br />LOT. BLOCK —OF <br />JOB ADDRESS -- <br />Ila <br />PLUMBING MECHANICAL <br />- <br />_ <br />TYPE OF Fuel: DoIL Dcns' ❑1'1'c,• PLOT PLAN <br />IJO. TYPE OF EQUIPMENT Draw plot plan <br />_ <br />NO. TYPE OF FIXTURE OR ITEM AIR COND. UNITS-H.P. EA. <br />Oil back S1CIC. <br />-- <br />WAT ER CLOSET ITOIL[TI <br />REFRIGERATION UNITS-H.P. EA. <br />BATHTUB <br />LAVATCRY(WASH BASIN) GAL <br />inFD-P.GA. <br />SHONER -- CAS FIRFO A.C. UNITS -TONNAGE EA. <br />_ <br />1'ITC N'_ti SINK Fi DISP. FORCED AIR SYSTEMS-U.T.U. M EA. <br />_ <br />DISlil':.:ENEH WALL HEATERS-A.T.U. M <br />LAUNDRY TRAY UNIT RLATEBS-B.T.U. M <br />- <br />CLOTHES WASHER EVAPORATIVE COOLERS <br />- <br />WATER NEATER CLOTHES DRYURS <br />_ URINAL VENTILATION FAN <br />DRINKI'.G FOUNTAIN RANGE HOOD <br />FLOOR-SI%K OR DRAIN <br />VACUV'.'. FIFAKERS AIR HANDLING UNIT- C.F.M. <br />ROOF CRAINS-RAINLEADERS INCINERATOR - <br />SINK (SERVICE-IIAR. ETC.) <br />7 <br />tS • ONLY BELOW - <br />_CTTVI <br />SIDE YARD SciGACK STREET SETUACK REAR YARD SETUACK <br />x <br />USEZONE LOT AREA VACANT SITE NATURE OF CONTRA RORAVTILAC T DATE <br />DYES ONO FEES <br />TYPE OF CONST. OCCUPANCY GHOVP NO. Of DWELLING <br />UNITS PLAN CK VALUATION <br />_ <br />BLDG PMT <br />SIZE OF BLDG. NO. OF STURIES MAX.00C. LOAD MECII PI•iT PLAN CK NO <br />_ <br />PLBG PMT <br />_ <br />1'If1E ZONE UASf LNT FRIL <br />REDHIIIEDKLCIIS TOTAL <br />❑YES ❑NO • <br />