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PERMIT APPLICATION 'y6�ys <br />BUILDING MECHANICAL PLUMBING <br />OW kN <br />MAIL AUUHLSS 2IV PHUNk <br />ARCHITECT SI N R <br />MA ADDRESS HON NBE NO. <br />O NERALCONT T <br />(SAD Op <br />MAILADDfl • O LICENSENO. <br />'TI <br />MRCHANICA NT RA OR <br />MA ADDRESS NO E - L ENSfi NO. <br />PLUMBING CON RACTOR <br />MAILAD RESS ?"ONE LICENSE NO. <br />CLASS OF WORK ' <br />NUMBER OF STORIES <br />❑BUILDING []PLUMBING ❑MECHANICAL' <br />BASMENT <br />❑NEW ❑ADDITION, []ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />00 <br />❑ DEMOLISH ❑FENCfi ❑SIGN ❑SWIMMING POOL <br />fL^Amo <br />DESCRIBE WORK D <br />PROPOSED US� <br />L'1 (g0Wo 9. .� . <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOURCp PIES( <br />c I r <br />LOTy ELOCK�OF' <br />'o I I rI F <br />.gyp <br />y Q.9�, 0�.; yl.ob' i„ �. 1'ns;.7�.I Sdt.• <br />,ULy.I.F.OI <br />.� <br />JOB ADDRESS <br />t <br />PLUMBING <br />MECHANICAL <br />YPE OF FUEL OIL NAT LPO. PLOT PLAN <br />OAS. <br />NO. TYPE EN7 Draw plot plan <br />NO. TYPE OF FIXTURE OR ITEM <br />S- .P. EA. <br />AIRRIGER COND. UNITS-H.P. EA. <br />bank Sliie• <br />WATER : -:SET (TOILET( <br />REFRIGERATION UNITS-H.P. E4. On <br />BATHT,E <br />BOILERS-H.P. EA. <br />. LAVAT:=+IWASH BASIN) <br />OAS FIRED A.C. UNITS -TONNAGE EA. <br />SHO%%E- <br />KITC�E'. £'NK Be DISP. <br />FORCED AIR SYSTEMS-R.T.U. M EA. <br />DISHtvS-ER <br />WALL HEATERS-B.T.U. NI <br />LAU%04• TRAY <br />UNIT HEATERS-B.T.U. M <br />CLOT-16:.ASHER <br />EVAPORATIVE COOLERS. <br />WATER -EATER <br />CLOTHES ORYERS <br />URINAL <br />VENTILATION FAN <br />DRINK:..? •OUNTAIN <br />RANGE HOOD <br />FLOG--E NK OR GRAIN <br />VACUL'•."='-AKERS <br />AIR HANDLING UNIT- CQF GI. <br />ROOF, •.S-RAINLEADERS <br />INCINERATOR <br />SINK ISE�vICE-RAH, ETC.1 <br />CTTV 'Cr 0. LY BELOW <br />SIDE YARD SiidACK STREETSLTUACK <br />REARYAROSETBACK _ '• <br />i< <br />�?dI <br />,•� xI, <br />USE ZONE LOT AREA <br />SIGNATUHF OF CONT RACRnn nutll n6FNT OATF <br />VACANT SITE <br />❑YES pAo FEES <br />TYPE OF CONST. OCCUPANCY GROUP <br />NO. OF DWELLING <br />PLAN CK VALUATION s� <br />- <br />UNITS <br />BLDG PMT on <br />SIZE OF BLDG. NO. OF STORIES <br />MAX. Orr- LOAD <br />MECH PMT PLAN CK NO ��� 7•�c <br />' <br />PLBG PMT <br />FIRE ONE B M <br />1I000IRLD KL TOTAL <br />�� <br />DYES ❑NO <br />