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y PERMIT APPLICATION.* VOo .. 1 7 <br />BUILDING <br />IMBING CONTRACTOR <br />NUMBER OF STORIES <br />BASYEN'. <br />.UATION OF WORK <br />PLUMBING <br />NO. -`''-e OF FIXTU <br />_ WATE:-:SET ITOILE' <br />_ BATH'-E <br />_ LAV-c[=• iWASH 8ASI <br />_ KITC�:'.:'VC S DISP. <br />_ LAU..%`QAY <br />_ CLOT-:i ..ASHER <br />_ WATER-'_ATER <br />_ URINAL <br />DRI ZOU=OUNTAIN <br />_ FLOC--c'.K OR DRAIN <br />VACL'L"E=EAKEPS <br />_ ROOF= -A ♦S-RAINLE{ <br />_ SINK dP-:ICi-RAR, E1 <br />�...• ONLy 1 <br />SIDE YARD iEi BACK STREF <br />USE ZONE LOT A <br />WIFE OF COKST. OCCUI <br />SIZEO 'BLDG. NO. OI <br />FIRE ZONE BAS A <br />MECHANICAL <br />L AUUHE:.1 <br />PLUMBING <br />41L ADDRESS PHONE LICENSE NO. <br />ULADDRESS <br />- PHONE LICENSE NO. <br />:LASS OF WORK <br />I BUILDING <br />PLUMBING 0 MECHANICAL ' <br />EW <br />❑AODITfON, ❑ALTERATION ❑REPAIR <br />❑DEMOLISH <br />JfFENCi ❑SIGN QSWIMMING POOL <br />r <br />RTY ISHOW BELOW OR ATTA <br />m <br />MECHANICAL <br />PLOT PLAN <br />Draw plot plan <br />On back side. <br />. <br />'• <br />, <br />TYPE <br />OF FUEL DOIL [:)"NAT. pLPG. <br />NO. <br />TYPE OF EOUIP.'.IENT <br />`AIR COND. UNITS-H.P. EA. <br />E F R IGC RATION UNITS-H.P, EA. <br />BOILERS-H.P. EA. <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEVS-B.T.U. .0 EA. <br />WALL HEATERS-B.T.U. M1I <br />UNIT HEATERS-B.T.U. 11 <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT- C.F.M. <br />INCINERATOR <br />EAR YA R- DSETB C <br />ACANT SITE SIGNATURE D CONTRACTOROR I AGHNT nAI1. <br />DYES ❑NO FEE 3 <br />OTS DWELLING PIAN CK VALUATION <br />rLDG PMT_ _ <br />ax, occ Lono MECII PMT I PLAN CK NO <br />PLBG PMT <br />IICSPRIL <br />TOTA <br />'Du1REoINK LE L ' <br />Ely <br />ES ❑NO 1 <br />