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(PERMIT APPLICATION <br />BUILDING MECHANICAL PLUMBING <br />DW EH MAIL AUUHL5S ZIP <br />1 <br />COW,, �i )S I'_ 5Pt <br />ARCHITECT OR DESIGNER MAILA=SS PHONE <br />LICENSE NO. <br />GENI11I-L(RALCONTRACTOR MAIL ADDRESS PHONE <br />LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE <br />LICENSE NO. . <br />P.UMBING CONTRACTOR MAILADORCSS PHONE <br />�1 > C <br />LICENSE NO. <br />- <br />CLASS OF WORK <br />NUMBER OF STORIES <br />BUILDING []PLUMBING [)MECHANICAL ' <br />BASMENT <br />❑NEW ❑ADDITION. ❑ALTERATION <br />❑REPAIR <br />VALUATION V WORK <br />/ <br />❑DEMOLISH ❑FENCE []SIGN ❑SWIMMING POOL <br />S <br />DESCRIBE WORK pp <br />PROPOSED USE <br />LEGAL DESCR'PTION OF PROPERTY {SHOW BELOW OR ATTACH <br />FOUR COPIESI <br />LOT BLOCK <br />—OF <br />JOB ADDRESS <br />PLUMBING <br />MECHANICAL <br />T VPE OF fUEI poll pens pLrc. PLOT <br />PLAN <br />NO. TYPE OFEOUIPMENT <br />Draw plot plan <br />NO. TYPE OF FIXTURE OR ITEM <br />AIR COND. VNI1 S--H.P• EA. <br />on back Side. <br />WATER: CSET(TOILET) <br />REFRIGERATION UNITS-H.REA. <br />BATHTL'S <br />BOILERS-H.P. EA. <br />LAVAT; RY (WASH BASIN) <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />S NOI'.ER <br />KITC-'.',INK A, DISP. <br />FORCED AIR SYSTEMS-A.T.V. M EA. <br />DISR'i•=f'•ER <br />WALL HEATERS-A.T.U. M <br />LAU6C=" TRAY <br />UNIT HEATERS-B.T.U. !A <br />CLOT `S,ASHER <br />EVAPORATIVE COOLERS <br />.. <br />WAI EP.EATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKy.J FOUNTAIN <br />RANGE HOOD <br />FLOO=- ;%K OR DRAIN <br />AIR (HANDLING UNIT- C.F.M. <br />VACUUM nRFAKEHS <br />ROOF C=AINS-HAINLEADERS <br />INCING RAT OR <br />SINK (SERVICE-HAR, ETC.) <br />CTTv,lcr. 0. T,Y BELOW <br />SIDE YABDSEI BACK STNLLT SETUACK <br />HEAR YAIIDSET"BAC' <br />y0/' <br />USEZONE LOT AREA <br />VACANT SIZE SIG Tu HE OF CON ACTOR OR At I/. AGF NT At1: <br />❑YES ❑NO FEES <br />TYPE OF CONST. OCCUPANCY GROUP <br />NO.OI DWELLING <br />PL 14 CK <br />VALUATION <br />UNITS <br />IILDG PMT <br />SIZE OF BLDG. (40. OF STORIES <br />FIflE 20NL dASLM NT <br />MAX. OCC. LOAD MECII PMT <br />PLBG PMT <br />(-1111: :PRINK LCH <br />TOTAL <br />PLAN CK NO <br />' <br />. <br />REOURILD <br />❑YES (:]NO I <br />