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. `BUILDING MECHANICAL PLUMBING <br />OWNER MAIL AUUHLbS 11Y VIAUTTLL y <br />/ y c <br />C `'/••f PNONE L I C ENSE NO. <br />I' ARCHITECT OR DESIGNER MAIL ADDHG+ , <br />LUIL AODIICSS PI/ONE LICENS,Iqg. s- _ M- pe_,2,VIr <br />i � GENERAL CGNTRAGTOIT �. <br />�t / 1C / NAIL ADOIIL+S PHONE LICENSE HO <br />MEC11Al11CAL CON711AC1OR 4 <br />r/ „ c. �� J-• /�' `• r LICENS[ NU. <br />PLUM 1 5CL14(RACTOH KAIL ADOIiESS PHONE , <br />-� <br />CLASS OF WORK <br />OF STORIES__ <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ' <br />NWIBER <br />❑avit ❑ADDITION• ❑ALTERATION <br />❑nCPAIR <br />DASMENT <br />— <br />VALUATIOI. CV WORK <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING <br />POOL <br />'s <br />DESCRIBE).D K <br />-' <br />PROPOSED LIE <br />' <br />LEGAL OE:='IPTION OF PROPERTY ISIIOWBELOWORATTACH <br />FOUR CONESI <br />SJ I•/ O(•i A. �.'7 <br />Gi `�N <br />LOT. <br />j <br />JOB ADDRESS L_ <br />PLUMBING <br />PLOT <br />PLOT <br />PLAN <br />rl <br />TYPE OF FUEL pO1L MR. pLPG. <br />h;. <br />NO. TYPE OF EOUIPGIEIJT <br />Draw P1Ot plan i <br />_ <br />pJO, TYPE OF FI%TURF: OR ITFKI AIR COND. UNITS-H.P. EA. <br />on back side. <br />1•JAIE= C_CSET ITCILETI <br />REF HI(iE NATION Uh1T5-/LP. EA. <br />BATHT_i <br />GOILERS-H.P. EA. <br />LAVATC-Y O'JASH RASINI <br />�1 GAS F IHEU A.C.' NITS-TONNAG E a, <br />SHE:'r <br />FORCED AIR SYSTEMS-R.LU. Mtn. <br />' <br />L'JA LL HE AT E n5-O.T.V. <br />I— <br />LA17 •.2c• TRAY <br />I UNITE ATERS-R. T•U. .A <br />CLOT•i5:•aSHER <br />1 EVAPORATIVE COOLERS <br />` <br />1'JATE=-f al[R <br />LLOTHES DRYERS "�L <br />U RI Na <br />VENTILATION FAN <br />�• <br />—_ <br />DnC.(r.J IOUNTAIN <br />�- RANGE HOOD ��- p,1 <br />F LOJ c-i NC ON DRAIN <br />pIR HAND TING UNIT- C. �. <br />•� <br />VA %�­? BEAK E R5 <br />ROCUOF :=AINS-f1.HNLEAOF:nS <br />INCINERATOR <br />' <br />' � <br />SINK Ic[ry1CF-UAR, ETC.[ <br />5 <br />' <br />v' i•CT` 0NT.Y <br />RF.LOPI <br />SIDEYAROic i8ACK <br />Si NEETuLTUACK <br />HEARYAnDSETUACK <br />ID <br />7v r <br />USL ZONE <br />LOT AREA <br />VACANT SITE <br />Z. <br />OYES ❑NO <br />TYPE OF CONST. <br />OCCUPANCY GIIUUP <br />1JO.01 UWLLLING <br />UNITS <br />SIZE OF ULDw <br />NU. OF STORIES <br />MAA. OCC. LOAU <br />(11111 ZUNL <br />UASLT.ITNT <br />RTbUIIIE O Y, LLA 1+ <br />'LIVES ❑NO_ <br />X <br />&[GNAT U fiE OF CONTRACTOR DR AUTH.AGENT FIAT <br />rrns <br />PLAN CK DO VALUATION <br />DLDG VMT uy YU <br />MECII Pi•IT PLAN CK NO <br />PLDG PI.1T y <br />TOTAL <br />