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PERMIT APPLICATION <br />BUILDING MECHANICAL PLUMBING <br />OWNER <br />w/ o-0/ i. <br />MAIL AUUMtSS ZIP PHONE <br />ARCMITECTOR DESIGNER <br />MAILADORESS PHONE LICENSE NO. <br />GENE RAL CON T RACTOR <br />MAILADDRESS PHONE LICEI ISE NO. <br />T% it%/��c!'S <br />G'G'L;--ti'c-CL.✓.r...Lti`)i'J`��-7/C� 1�>-C/ --I'- <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS PHONE LICENSE NO. <br />CLASS OF WORK <br />NUMBER OF STORIES <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL <br />BASI`IiENT <br />NEW OADDITION. ❑ALTERATION REPAIR <br />VA..UATION CF WORK -" <br />❑DEMOLISH ❑FENCE []SIGN ❑SWIMMING POOL <br />OESCRIBEWORK <br />ellz <br />D <br />cl 4 <br />rnovosto USE <br />LEGAL OESC-IPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIESI <br />LOT BLOCK —OF <br />JOB ADDRESS ` <br />l5" <br />PLUMBING <br />MECHANICAL <br />- <br />TYPE OF FUEL ❑OIL ❑GAAS, ❑LPG. PLOT PLAN <br />NO. "!PE OF FIXTURE OR ITEM <br />NO. TYPE OF EQUIPMENT <br />NO. plot plan <br />WATER -_.SET (TOIL°TI <br />AIR COND. UNITS-H.P. EA. <br />on back side. <br />BATHT,E <br />REFRIGERATION UNITS-H. P. EA. <br />LAVAT:RYIWASHBASIN) <br />BOILERS-H.P. EA. <br />SHOY.ER <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />KITCh--. E'NK S OISP. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />DISHI}_i-EB <br />WALL HEATERS-B.T.U. M <br />LAUNO=- TRAY <br />UNIT HEATERS-O.T.U. M <br />CLOTEF ATER <br />EVAPORATIVE COOLERS <br />WATER -'ATER <br />CLOTHES DRYERS <br />URINAL <br />, <br />DRINK'•.? FOUNTAIN <br />VENTILATION FAN <br />FLOOR-i NK OR DRAIN <br />RANGE HOOD <br />VACUL'.'E^FAKERS <br />AIR HANDLING UNIT- C.F.M. <br />ROOF C=_: VS-RAWLEADE RS <br />INCINERATOR <br />$INK IS?VICE-BAR, ETC.1 <br />BELO?1 <br />CTTV T-C:TCKSTREET <br />FYAHO <br />Sd IdA <br />_ <br />HEARYARDSETUAC <br />USE ZONE AREVACANT <br />71GHOUP <br />SITE SIGNATURE OF CONTRACTOR OR AUTH. AGENTOATF <br />YES ❑NO FEESTYPE <br />OF CONSI.PANCY <br />UNITS DWELLING PLAN N CK VALUATION �� � <br />SIZE OF BLOC_ NO. OF STORIES <br />MAX. OCLO LOAD BLDG PMT <br />MECII Pk1T I PLAN CK NO <br />FIRE ZONE BASTM N <br />FIRE $PRINK LE Il., PLBG PMT <br />REQUIRED TOTAL <br />DYES ❑NO <br />1 —� <br />