Laserfiche WebLink
: fERMIT APPLICATION' <br />� l <br />BUILDING MECHANICAL. PLUMBING flay/mil <br />OYINkH MAIL AUNESS ZIY �1'HUNt <br />U <br />AR ITE OR DESIGNER MAIL ADDRESS PHONE <br />LICENSE NO. <br />GENERAL CGNT APTOR MAILADORCESS PHONE <br />LICENSE NO. <br />CHANICAL CONTRACTOR MAIL AO HESS l PHONE <br />LICENSE NO. <br />PLUMBING CO TRACTOR MAILADDRESS (•NONE <br />LICENSE NO. <br />CLASS OF WORK <br />PLUM" <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ' <br />NUMBER OF STORIES <br />BA.SMENT <br />❑NEW ❑ADDITION. ❑ALTERATION <br />PREPAIR <br />VALUATION OF WORK QO <br />DEMOLISH ❑SIGN ❑SWIMMING <br />POOL <br />s <br />DESCRIBE WORK <br />n <br />PROPOSED <br />LEGAL DESC-IPTION OF PROPERTY ISHOW 8ELOW OR AZT,ACH f� <br />FOUR COPIESI <br />LOT��4y f <br />BLOCK '�_OF <br />JOB ADDRESS <br />' <br />PLUMBING <br />MECHANICAL <br />PLOT <br />PLAN <br />TYPEOF FUEL ❑OIL ❑cnT. ❑LPc. <br />NO. TYPE OF EQUIPMENT <br />Draw plot plan <br />NO. TYPE OF FIXTURE OR ITEM <br />I AIR COND. UNITS-H.F. EA. <br />On back side. <br />WATER ='_:SET ITOILETI <br />REFRIGERATION UNITS-H.P. EA. <br />BATH%% <br />BOILERS-HY. EA. <br />LAVAT=RY IVfASH BASIN) <br />C. UNIT$ -TONNAGE EA. <br />$H OIt ER <br />KITCFE'. SINK S DISP. <br />SYSTEMS-R.T.U. M EA. <br />DISHl1=S-ER <br />RS-B.T.U.MLAU,%_ <br />`TPAY <br />VFOFICED <br />RS-BT.0%ICLOT-ESffASHER <br />E COOLERSWATER-EATER <br />YERS <br />URINAL <br />VENTILftFANDRINK:•. <br />FOUNTAIN <br />RANGEFLOOR-SNK <br />OR DRAINAIR <br />HAC.F.M. <br />- <br />ROOFCLSNEAKERSINCINE <br />ROOF:=i:.\5-Ra1NLEAOERS <br />$INK ISERVICE-PAR. ETC.) <br />CTTV-rcr 0.. LY BELOW <br />SIDE YARD St TdACK STREETSETUACK <br />REAR YARDSETBAC <br />' <br />.x -'1,•� iy _ <br />., l <br />SIGNATURE OF OJNTR4VCTO R=OR AUTN. AGENT DATE <br />USE ZONE LOT AREA <br />VACANT SITE <br />OYES ONO FEES <br />TYPE OCONST. OCCUPANCY GROUP <br />DWELLING PLAN CK _ <br />VALUATION 3�n_c (. <br />UNITS <br />BLDG PMT <br />l <br />SIZE OF BLOC, NO. OF STORIES <br />MAx.00C LOAD MECII PMT j— <br />PLAN CK NO _ <br />PLBG PMT <br />FIRE ZONE BASEMENT <br />FIRESPRINKLER TOTAL <br />REQUIRED <br />- <br />❑VES ONO 1 <br />