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,PERMIT APPLICATION <br />BUILDING MECHANICAL PLUMBING <br />\l OWNER <br />MAIL AUUHI SS r ZIP <br />PIIUNE, <br />A1ICH IT ECT O R DCS I GNEH <br />MAIL. A DRESS PHONE <br />LICENSE NO. <br />GENE LCON ACTOR <br />MAILADDRESS PHONE <br />LIC EN _ENO. <br />MLGHANICtf CONT11ACTOR <br />MAIL ADDRESS PHONE <br />LICENSE NO. <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS PHONE <br />LICENSE NO. <br />CLASS.B�yi�1WORK <br />NUMBER OF STORIES <br />{�'6UILDINc D PLUMBING MECHANICAL <br />' <br />TIASMENT <br />❑NEW ADDITION, ❑ALTERATION DREPAIR <br />VALUATIUN OF Wpf3f; <br />O/ <br />-- <br />SD <br />[I DEMOLISH ❑PENCE ❑SIGN OSWIMMING <br />POOL <br />DE5CRI E WORP. <br />Z,&_A v 7'oI=st(s , <br />b <br />PROPOSED USE <br />- <br />LEGAL DESCRIPTION OF PROPERTY SHOW BELOW OH AT TA <br />FOUR�C,/OPIIES) <br />C <br />pp�� <br />LOT.[..Y_C BLOCK E.Q�JOFF-+-(��y.�7 <br />�i" S �[ X� <br />,// <br />/(l �i( .X�iL—� <br />JOB ADDRESS <br />_ <br />PLUMBING <br />MECHANICAL <br />TYPE OF FUEL ROIL DNAT. OLPG. <br />IN <br />PLOT PLAN <br />fJQ. TYPE OF FIXTURE OR ITEM <br />NO. T-Y.PE OF EQUIPMENT <br />AIR <br />Draw plot plan <br />WATER CLOSET ITOILETI <br />COND. UNITS-H.P. EA. _ <br />On back side. <br />BATHiuB <br />REFRIGERATION UNITS-H.P. EA. <br />_ <br />LAVATORY (WA5118A51 N) <br />BOILERS-H.P. EA. <br />SH p15'ER <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />P.ITCHE': SINK F. DISP. <br />FORCED AIR SYSTEMS-B.T.U.M EA. <br />DISHWASHER <br />WALL HEATERS-O.T.U. Id <br />LAUND:Y TRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTH=S WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />r LOOR-SINK OR GRAIN <br />RANGE HOOD <br />VACUU:' BREAKERS <br />AIR HANDLING UNIT- C.F.M. <br />FlOOFORAINS-R_AINLEADERS <br />INCINERATOR ' <br />SINK (SERVICE -BAR, ETC.) <br />V c-tsG •s:LTK»3A*i]I.•0f1'1"_•f.�!!' <br />-- <br />v• 7 ONL]' BELODI <br />SIDE YgRD Se TBACK STREET SETBACK <br />REAR YARD SE TOACK <br />LLOFW,�,IIIITIFIIRAUTH. <br />USL 20NE LOT AREq <br />VACANT SITC- GENT 'if( <br />--- <br />. OYES ONO PEES <br />•--•-• <br />,, <br />TYPE OF CONST. OCCUPANCY GROUP <br />KO DWELLING <br />UNITS PLAN CK <br />VALUATION <br />SIZE OF BLDG. NO. OF STORIES <br />FAAx. OCG. LOAD BLDG PMT <br />_L <br />I — <br />MECH PPIT <br />PLAN CK NO <br />rE Jfi UASM WT <br />F111G SPRINK LI:RS PLIIG PPfT <br />RruumED TOTAL <br />DYES ❑NO <br />