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P'r`_RP\A.1T -APPLICATION <br />BUILDING MECHANICAL PLUMBING �%?7lw <br />OWNLR MAIL AUUIILSS LII' 1'l1UNL <br />4aC CH4'L, L)'1j N�,g 9qn e./ 3.C7-7d37 _ <br />ARCHITLCT OH UESIGNEH MAIL AODRLSS PHONE LICENS. NO. <br />N <br />GENERAL CONTRACTOR MAILADURESS PHONE LICENSE NO. <br />/V <br />_ <br />M CCHAN ICAL CUNT RACTO It MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICLI45L IJO. <br />CLASS Of: WORK <br />NUMBER OF STORIES Z <br />❑ BUILDING ❑ PLUMBING p MECIIANICAL ' <br />BASMENIT <br />❑NEW ❑ADDITION, ❑ALTEIIATION REPAIR <br />VALUATION OF WORK- <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />_ O 0 <br />DLSCRIBEV,ORK <br />Nrw 20B F <br />�II SOPOSEO LSE <br />(l: SI vcNcF_ <br />LLGA1. DrSCR,PTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR <br />, <br />yCCO��1P��CC,LSI / �7 <br />LOT��CLOCKyy/'OF Cd I'l TR L),� 1U__JS-�) —. - <br />JOB AODR1IEti <br />Iq (/ E <br />PLUMBING <br />MECHANICAL <br />.i <br />TYPEOFFUCL pOIL p�/A�T. pLrc. PLOT PLAN <br />NO. TYPE OF EOUIPMEN T Draw plot Ian <br />p <br />NO. TYPE OF FIXTURE OR ITLM <br />AIR COND. UNITS-H.P. EA. <br />back 51d0. <br />WATER ::OSET ITOILETI <br />REFRIGERATION UNITS-H.P, EA. OII <br />BATHTCS <br />BOILERS-H.P. EA. ' <br />LAV ATC RY (W, SH BASIN) <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />SHO%%ER <br />KITC! E'c SINK & DISP, <br />FOHCEO Ain SYSTEMS-B.T.U. M EA. <br />DISHR=S-ER <br />WALL HEATERS-B.T.U. M <br />LAUNCR" TRAY <br />UNIT HEATERS-H.T.U. M <br />CLOT­-NASHF.R <br />EVAPORATIVE COOLERS <br />WATER -EATER <br />CLOTHES DRYERS <br />_URINAL <br />VENTILATION FAN <br />DNINK".G FOUNTAIN <br />RANGE HOOD <br />FLOORS,\K OR DRAIN <br />VACUL'•.• SREAKERS <br />AIR HANDLING UNIT- C.F.M. <br />ROOF CRAINS-RAINL FADERS <br />INCINERATOR <br />SINK (SERVICE-HAR, ETC.) <br />CT'P%'* ONLY BELOW <br />SIDL YAROSETdACK 57 HE CT SETBACK <br />HEAR YARD SETUACY <br />t ,(�•(/� <br />XPC <br />USEZONE LOT AREA <br />VACANTSITE 'I NATUREOF ONTnACTORORA ITH,A P DATI' <br />OYES ONO F>;ES - <br />TYPE OF CONST. OCCUPANCY GROUP <br />N0.OF DWELLING <br />PLAN CK VALUATION <br />UNITS <br />BLDG PMT <br />S12E OF ULDG. NO. OF STORIES <br />MgX.0CC. LOAU <br />MECII PMT i PLAN CK NO <br />PLBG PMT <br />FIRC'ZONE UASLM Ni <br />'INFSI'Ru,IKLLR <br />R TOTAL <br />f.OUlilLp <br />❑YES ONO <br />■ <br />