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HERMIT APPLICATION.' <br />`BUILDING <br />MECHANICAL <br />PLUMBING 5`����• <br />QP/NkN MAIL AUUHESS zip <br />PKUNE <br />PHONE <br />LICENSE NO. <br />RCHITECT CR DESIGNER <br />MAIL AOORE55 <br />r <br />GE91ERALCGNTRACTOR <br />MAIL ADDRESS <br />!NONE <br />LICENSE NO. <br />MECMA )CAL CONTRACTOR <br />MAIL ADDRESS <br />!HONE <br />LICENSE NO. <br />PLUMBING CONTRACTOR <br />MAILADDRESS <br />PHONE <br />LICENSE NO. <br />cc 11F W(lRC <br />tiITN1BE' OF STORIES _`BUILDING ❑►LUMBING pMECHANICAL ' <br />BASi2'^ (ANEW ❑ADDITION. ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />.s _�? , .') []DEMOLISH FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK ' <br />PROPOSED LSE <br />_ LEGAL DEE`"TION OF PROPERTY )SNOW BELOW OR ATTACH <br />FOUR COPIES) - ' <br />LOT ELOCK_OF <br />JOB ADDRESS <br />n <br />PLUMBING MECHANICAL _ <br />TYPE OF FUEL OCIL pGAs- pLPG. PLOT PLAN <br />_ NO. TYPE OF EOUIP.I.!ENT Draw plot plan <br />NO. "�= OF FIXTURE OR ITEM11 AIR COND. UNITS-H.P. EA. on back side. <br />WATEc -__SET (TOILETI I REFRIGERATION UNITS-H.P. EA. <br />BATH%i I BOILF.FIS-H.P. EA. - <br />LAVA-C=• i *LASH BASIN) GAS FIRED A.C. UNITS -TONNAGE EA. <br />_ SHO.: <br />_ KITC `E'•>'• K b OISP. FORCED AIR SYSTE`'I -B.T.U. %I EA. <br />DISH'i.=5-Sa WALL HEATERS-B.T.U. RI <br />LAUNC =` -a AY UNIT HEATERS-H.T.U. M <br />CLOT`..• SHER EVAPORATIVE COOLERS <br />WATE--EATER (CLOTHES DRYERS <br />URIN-; 1 VENTILATION FAN <br />DRIN<`. °DUNTAIN RANGE HOOD <br />FLOC°-i %< OR DRAIN <br />VACL'L'- °= AKERS AIR HANDLING UNIT- C.F.M. <br />ROOF'- --RAIN LE ADE RS INCINERATOR <br />SINK uE''• ICE-RAR. ETC.) <br />0-ILY 9ELOW III <br />SIDE YARD SEI SACK STREETSETUACK HEAR YARD SE7 K •��'__!--r.� ,1 <br />X <br />SIGNATURFOFCONTRACTOROR AIITH. Ar FNT OA71 <br />77 USE ZONE LOT AREA VACANT SITE <br />OYES ❑NO FEES <br />TYPE OF CONST. OCCUPANCY GROUP UNO.OfNITS DWELLING PLAN CK - VALUATION I <br />UNITS <br />BLDG PMT <br />S12E OF BLDC. NO. OF STORIES MAX. OCC. LOAD MECII PMT PLAN CK NO <br />PLBG PMT <br />FIRE ZONE , BASEM N Rip SPRINKLERS TOTAL <br />OYES ONO <br />