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PERMIT APPLICATE01'�4 1 <br />BUILDING MECHANICAL PLUMBING <br />OWHL•H. MAIL AUGHLSS <br />l ZIY 1'HUNk <br />Sc:P W. <br />ARCHITECT OR DESIGNER MAILAUVII1455 PHONE LICENSE NO. <br />I GENERA COIFTRACTOR MAIL AODP . PHONE LICENSE NO. <br />SELF - -- <br />MECHANICALCONTRACTOR MAII SS PHONE LICENSE NO. <br />PLUMBING COWHACTOR MAIL ADDRESS PHONE LICENSE NO. <br />CLASS! WORK <br />NUMBER OF $TORS ESBUILDING ❑PLUMBING ❑MECHANICAL <br />BASMETIT NEW ❑ADDITION, ❑ALTERATION ❑REPAIR <br />VALUA110N CF WORK <br />. _ .I �y� ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK l/lJ <br />PnOPOSEO USE <br />LEGAL 0[S!RIPT ION OF PROPERTY (SHOW BELOW OR ATTACH <br />P OUR <br />COPIESI <br />LOT. DI-BLOCKIL'LOF •fll, -�'�� Y <br />V112V(LAW S} UI V IS — <br />JOB ADDRESS e <br />C)3a3 �]3Y Evr•J rT - - <br />I'LUMBING MECHANICAL <br />l YPE OF FUEL LJOIL ❑cns' ❑LPG. PLOT PLAN <br />NO. TYPE OF EOUIPf LENT Draw plot plan <br />N0, TYPE OF FIXTURE OR ITEM in COND. UNITS-H.P. CA. on baCl: side.WATER CLOSET ITOIL[TI nEFHIGEHATION UNITS-H.P. EA. <br />BATHTUB ROILEFIS-H.1'. GA. <br />LAVAT C RI O9ASH IIASIN) GAS FIRED A.C. UNITS -TONNAGE CA. - <br />_ 5HOI%ER <br />_ KITCHE•. SINK P. UISP. FORCED AIR SYSTEMS-D.T.U. M EA. <br />_ DISH"s-En WALL Nf.ATC nS-O.T.U. M <br />_ LAUACA�TRAY UNIT HEATCHS-B.T.U. M <br />_ CLOTZ:SIYASNEn EVAPOTIATIVC COOLEFIS <br />_ IVAl ERPEAIEn CLOTIILSD_n YEF(S <br />URINAL VENTILATION FAN <br />OnIfi KING FOUIF AIN RANGE 11000 <br />_ F1.00t-SINK OR DRAIN <br />_ AIR HANDLING UNIT- GP.A7. <br />VACUO." 5REAI: to <br />ROOF C-♦INS—DAINLEADERS INCINERATOR <br />SINK IS E'AICE-OAn ETC.) , <br />r �tiaO -- - •• <br />v• /cam .SLY . 3ELOW f/�l <br />SIDE YARD SE78ACK S7 RELT SEIUACK REAR YADOSETTK `^, j'A IHC OFC NTDAC10I On nUT11. AGC NT DATE <br />USE —ZONE LOT AREA VACANT CITE <br />OYES ONO TEES ^ <br />TYPE of coNil. occu-PAN cY anouP UNITS OWLLLING PLAN CK VALUATION L � <br />_ DLDG PM'r_ 4 SI /J/ L [{/ <br />E OF BLDG. NO,F STOIIILS OAK, OCC. LOAD MECH MIT PLAN CK NO'/ (Z�7 J �V <br />F PLDG PMT <br />ul z!N n Fri ��uiiieD n. TOTAL 'L 1 _ <br />