Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING MECHANICAL PLUMBING <br />MAIL AUDHLSS ZIP <br />ARCHITECT OR OESSI/GN MAILADORESS (HONE <br />YHUNL <br />LICENSE NO. <br />C ��OkICH <br />GENERAL CONTRACTOR <br />k_9 � vsr rN�• <br />MECHANICAL CONTRACTOR <br />.� - i 1 <br />NAIL ADORE55 PHONE <br />,: 7 <br />MAIL AOO RESS PHONE <br />S fl...... <br />LICENSE NO. <br />LICENSE NO. <br />PLUMBING CONTRACTOR , 1�/�IC <br />MAIL ADDRESS PHONE <br />LICENSE NO. <br />CLASS OF WORK <br />NUMBER OF STORIES <br />BASMENT <br />❑ BUILDING ❑ PLUMBING p MECHANICAL <br />NEW ❑AOOITION, []ALTERATION <br />❑REPAIR <br />VALUATION OF WORK <br />L'L, <br />_5'I- <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRISE WORK <br />PROPOSED USE <br />FLEGAL OUR DESC IIPTION OF PROPERTY ISHOW BEL r OR ATTACH <br />LOT BLOCK —OF J S _ <br />JOB ADD RESS l <br />I La <br />- <br />PLUN.dING <br />MECHANICAL <br />TYPE OF FVEL pOIL prNAAs. ❑Lrc. <br />PLOT <br />PLAN <br />Draw plot plan <br />NO. <br />TYPE OFEOUIPMENT <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />AIR COND. UNITS-H.P. EA. <br />REFRIGERATION UNITS-H.P. EA. <br />on back side. <br />WATER CLOSET (TOILET) <br />BATHTCS <br />BOILERS-H.P. EA. <br />- <br />LAV ATC RY 1WASH BASIN( <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />$HONES <br />K ITCHY•: SINK R OISP. <br />FORCED AIR SYSTEMS-R.T.V. M EA. <br />DISH R=i HER <br />WALL HEATERS-A.T.U. NI <br />UNIT HEATERS-R.T.U. M <br />LAUAO^° TRAY <br />CLOT-SIVASHER <br />EVAPORATIVE COOLERS <br />- <br />_ <br />WATER -EATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKIN3 FOUNTAIN <br />RANGE HOOD <br />FLOG° -SINK OR DRAIN <br />AIR HANDLING UNIT- GF.K1. <br />_ <br />_ <br />INCINERATOR <br />ROOF C^a1%5-RAINLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />T'FV ON BELOW <br />_ <br />_fTmv <br />SIDE YAIIUSiiBACK <br />SIRLLTSLTUACK <br />REAR <br />YARD SET UACK <br />SITE SIGNATUHEOFCONTRACTORORAIITW.AGENT DAII <br />VSE ZONE <br />LOT AREA VACANT <br />❑YES pND FEES - JJ�� <br />DWELLING PLAN CK ;2 �V <br />I TS <br />VALUATION _ <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO <br />UN <br />i -r_� <br />- <br />BLDG PMT 37. -- <br />AUX. OCC. LOAD MECIi PD17(_ <br />PLAN CK NO <br />SIZE OF BLDG. <br />NO. OF STORIES M <br />2 <br />PLBG PMT <br />SPRINKLER., TOTAL <br />OYES 0N0 - - 1 <br />- <br />FIRE ZONE <br />BASEM NT FIRL <br />REDUIRLD <br />