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TERMIT APPLICATION.' <br /> BUILDING MECHANICAL PLUMBING <br /> MAIL AUORLWo ZIP 1'HUNk <br /> OWNkN ' <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAIL AODRCSS PHONE LICENSE NO. <br /> MECHANICAL CONT RAC TOR MAILAODRESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAILAODRESS PHONE LICEN7E NO. <br /> CLASS OF WORK <br /> NG•MBER OF STORIES ❑BUILDING ❑PLUMBING ❑MECHANICAL ' <br /> BASMENT ❑NEW ❑ADDITION. ❑ALTERATION EfREPAIn <br /> VALUATION CF WORK <br /> ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING PWL <br /> DESCRIBE WORK <br /> Pi:OP SEO LSE ' <br /> LEGAL 0ESC si PT ION OF PROPERTY(SHOW BELOW OR ATTACH <br /> FOUR COPIESI <br /> LOT BLOCK—OF <br /> JDB ADDRESS <br /> PLUMBING MECHANICAL <br /> YPE OF u L OIL aAs.LPG. PLOT PLAN <br /> _ NO. TYPE OFEOUIPMENT Draw plot plan <br /> NO. TYPE OF FIXTURE OR ITEM AIR COND.UNITS-H.P. EA. _ <br /> WATER :_=SET ITOILETI REFRIGERATION UNITS-H.P.EA. On back side. <br /> BATH7-5 BOILERS—HLP. EA. <br /> _ LAVA':=• (WASH BASIN) <br /> WAS FIRED A.C.UNITS—TONNAGE EA. <br /> _ KITC-S'•PNK b DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> _ OISHn-S-ER WALL HEATERS-6 —.U. M <br /> _ LAUN:Z- TRAY _ UNIT HEATERS—B.T.U. M <br /> CLOT.•Ei"ASHER EVAPORATIVE COOLERS <br /> _ WATER -i_.TTER CLOTHES DRYERS <br /> _ URINAL VENTILATION FAN <br /> _ DRINK:-.7 FOUNTAIN RANGE HOOD , <br /> _ FLOO--! %K OR DRAIN <br /> VACUUM 2REAKERS AIR HANDLING UNIT— C.F.M. <br /> ROOF CsA1%S—RAINLEAOERS INCINERATOR <br /> SINK(SERvICE—BAR. ETC.) <br /> _ L77TV •cr OVLY ELO,-1 _ <br /> SIDE YARDSIITRACK STREET SETBACK HEARYARDSETBAC • 1 <br /> USE—ZONE LOT AREA VACANTSITE <br /> SIGNATURE OF CONTRACTOR OR AU .AGFNi DAtF <br /> OYES ONO FEES <br /> TYPE Of CONST. OCCUPANCY GROUP UNOOFNITS DWELLING PLAN CK VALUAT':ON .1 �r'(:- <br /> BLDG PMT <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC LOAD MECFI PMT PLAN CK NO <br /> TOTAL <br /> FIRE ONE BASEMENT PLEIG PMT <br /> IR P INK <br /> RTOUI qED TOTAL <br /> ❑YE9 <br /> ONO I <br />