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-PER BUT APPLI`:ATION ' aao -3-7 <br />BUILDING MECHANICAL PLUMBING <br />MAIL AU(LLIIL/55J��� <br />• /� / / <br />/�'cyu LC <br />ZIP <br />'r �-s <br />/J <br />Imo• G <br />1-14UNL <br />%9�` ''W� <br />OESIUFILR <br />v <br />MAILAUVIILSb <br />PHONE <br />LICLNSL NC <br />W...... _ .. _ <br />NUMBER OF STORIES <br />BASMENT <br />❑DUILDHJG ❑PLUh511NG ❑MECHANICAL <br />❑NEW ❑ADDITION, ❑ALTERATION EPAIR <br />VALUATION OF WORK <br />❑DEMOLISH ❑FEN08 []SIGN❑SYJIMh51NG POOL <br />DESCRIBERK O��! <br />PROPOSED D USE - -_- <br />r <br />LEGAL UFSCP.IPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIE51 l-L � -±— � ' <br />LOT�-^t BLOCK/ OF ZIC�L-----------� <br />JOB ADU/�, <br />PLUMBING MECHANICAL <br />PLOT PLAN <br />TYPE OF FVEL ❑OIL NAST. ❑LPG. <br />Draw plot plan <br />N0. <br />TYPE OF EQUIPMENT <br />IJO. <br />TYPE OF PI\TURE OR ITEM <br />WATER CLOSET ITOILETI <br />AIR COND. UNITS-II.P. EA. <br />I,EFRI01inATION UNITS-H.P. EA. <br />on back Side. <br />BATHTUB <br />BOILERS-FI.P. EA. <br />LAVATORY MASH UASIN) <br />GAS FIRED A.C. VNITS-TONNAGE EA. <br />SHONEQ <br />PORCEO AR SYSTEMS-U.T.U.MCA. <br />'ITCP_\ SINK b OISP. <br />DI <br />WALL HEATERS-B.T.U. M <br />LAIIh ORS' TRAY <br />UIJIT HEATERS-B.T.U. M <br />CI"0T1EQ WASHER <br />EV APOHATIVE COOLERS <br />._ <br />WATER ~EATER <br />CLOTHES ORYCRS <br />URINAL <br />VENTILATION FAN <br />DRINK '.> FOV NTAIN <br />RANGE HOOD <br />FI"000_SIAK OR DRAIN <br />AIR HANDLING UNIT- O.F.M. <br />T.Y BrLO61/� <br />ct/vi t <br />REAR YARDSETBACK <br />L (f <br />STREET SLTUACK <br />x <br />VACANT SITE <br />SIGNATVAEOFCONTHACTOAORAUTII.AGENT <br />DATE <br />LOT AREA <br />DYES ❑NO <br />NO.OF DIYCLLING <br />FEES <br />PLAN CK <br />VALUATION <br />OCCUPANCY GROUT' <br />UNITS <br />MAs. OCC. LOAD <br />nr.,Dc PM..� <br />MLCH PMT <br />PLAN CK NO <br />NO. OF STORIES <br />FIRL SPRINK LEAS <br />Rroumeo <br />PLBG PM <br />TOTAL <br />T UASEM NT <br />❑YES ONO <br />1 <br />___ <br />