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HRMIT APPLICA FION <br />BUILDING MECHANICAL PLUMBING <br />UWNkII <br />MAIL AUURLSS ZIP <br />VIIUNL <br />1 <br />ARCHITECT OR DESIGNER <br />LICLNSL NO. <br />MAIL AUDFESS PHONE <br />LA <br />y <br />fi N -HALC Ali ACTOR <br />MAILAODRESS PHONE <br />LICENSE NO. <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS PHONE <br />LICLG.c NO. <br />I <br />1 �• <br />_ <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS PHONE <br />LICENSE NO. <br />�I <br />r` <br />' <br />CLASS OF WORK <br />NUMBER OF STORIES_ <br />®OUILDIND ❑PLUMBING ❑MECHANICAL <br />BASMENT <br />1NEW []ADDITION. ❑ALTERATION <br />❑REPAIR <br />VA LUA71ON OF WORK <br />[I DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING <br />POOL <br />S <br />D -RIBEV/ORK <br />CONS "i <br />"��• <br />1116 / GC <br />PROPOSED LSE <br />L /a P)ry Ah%. <br />_ <br />LEGAL DES =IPTION OF PROPERTY IS OW BELOW OR ATTACH <br />FOUR COPIES <br />I� RQI/.��A/Z—(r�Sr <br />%� <br />LOT JQ-6.00K OF <br />. <br />I <br />JOB ADDRESS <br />PLUMBING <br />MECHANICAL <br />TYPE OF FUEL OIL LPG. <br />PLOT PLAN <br />. <br />NAT. <br />NO. <br />TYPE OF EQUIPMENT <br />Draw plot plan <br />_ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />AIR COND. UNITS-M.P. EA. <br />On back side. <br />- <br />WATER �:OSET )TOILET) <br />REFRIGERATION UNITS-M.P. EA. <br />DATHTLS <br />BOILERS-H.P. EA. <br />_ <br />LAVA -:AV IIVASH BASIN) <br />GAS FRED A.C. UNITS -TONNAGE EA. <br />GASFIRED <br />SIIO1'.ES <br />_ <br />KITCI !%SINK & DISP. <br />FOPCED AIR SYSTEMS-B.T.U. M EA. <br />_ <br />DBIa•: eS-ER <br />WALL HEATERS-R.T.U. M <br />_ <br />LAUA`=• TRAY <br />UNIT HEATERS-B.T.U. M <br />_ <br />CLOT'EF WASHER <br />EVAPORATIVE COOLERS <br />WATEA.EATER <br />CLOTHES DRYERS <br />_ <br />URINAL <br />VENTILATIONFAN <br />_ <br />DRINK:'.:, FOUNTAIN <br />RANGE HOOD <br />•f <br />FLOOA-FNK OR DRAIN <br />AIR HAND(.INO UNIT- C.F.M. <br />VACVV!'BEAKERS' <br />_ <br />ROOF CAAINS-RAINLEADEIIS <br />INCINERATOR <br />SINK 15EAVICE-HAR. ETC.) <br />_Q <br />T TV 'G 0:JLY PELOM <br />SIUL YARD SETBACK STREET SETBACK <br />RCARYARDSETBACK <br />S <br />Z©F <br />Zc:)F=r <br />X <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />SIG NATUHI. OF CONTIIACTO <br />I,nC.1`Nr OATF <br />12YES ❑NO <br />FEL••S <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNO Of Nj S DWELLING <br />_ <br />PLAN C•R //)/-I's <br />VALUATION <br />. <br />BLDG PMT 19 <br />FIZE OF BLOB, <br />NO. OF STORIES <br />MAX.00C. LOAD <br />MECIi PMT 211— <br />I I- <br />PLAN CIC NO <br />9 Y_ too <br />'L <br />PLUG PMT� <br />— <br />_ <br />REZON�k <br />r <br />Un+LMLNI�0 <br />RE`]YESLO <br />K[gA0 <br />TOTAL <br />I <br />I <br />