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PERMIT APPLICATION' <br />_ <br />BUILDING <br />MECHANICAL PLUMBING <br />OWNkN <br />MAIL AUUH1,55 11Y 1'NUNk <br />ARCNIi ECT OR OESIG R <br />MAILADDRESS LICENSENO. <br />GENERALCONIRACTOR <br />MAILADDRESS PHONE LICENSE NO. <br />'[/f/CE Tr Ei//c -' <br />�C'3-7/G/ 1?3 o/-LV £R4 3c>�p <br />_ <br />MECHANICAL CONTRACTOR <br />MML ADDRESS PHONB LICENSENO. <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS PHONE LICENSE NO. <br />— <br />CLASS OF WORK <br />NUMBER OF STORIES <br />[]BUILDING ❑PLUMBING ❑MECHANICAL ' <br />BASMENT <br />❑NEW ❑ADDITION, ❑ALTERATION i'UREPAIR <br />VALUATION OF WORK <br />S / o <br />❑DEMOLISH ❑FENCE []SIGN[:)SWIMMING POOL <br />DESCRIBE WORK <br />7 <br />_ <br />PROPOSED USE <br />LEGAL DES:R-PTION OF PROPERTY [SHOW BELOW OR ATTACH <br />FOUR CP�PIES 1 <br />_ <br />LOTJ— BLOCK_OF <br />JOB ADDRESS <br />-7 <br />PLUMBING <br />MECHANICAL <br />_ <br />L a. <br />YPE OF FUEL C301C ❑GNAT.AS O <br />PLOT PLAN <br />_ <br />NO. <br />NO. <br />TV PE OFEGUIPMENT <br />Draw plot plan <br />NO. <br />TOF FIXTURE OR ITEM <br />UNITS-M.P. EA. <br />back side. <br />WATER :.-SET ITOIIEiI <br />REFRIGERATION UNITS-M.P. EA. <br />On <br />BATHTCS <br />BOILERS-H.P. EA. <br />_ <br />LAVAT:RY IWASH BASIN) <br />GAS FIRED A C. UNITS -TONNAGE EA. <br />SH01\E• <br />_ <br />KITCMEI VNK S DtSP. <br />FORCED AIR SYSTEMS-R.T.U. M EA. <br />_ <br />DISHV%Af-ER <br />WALL HEATERS-B.T.U. M <br />_ <br />LAUAC=• TRAY <br />UNIT HEATERS-B.T.V. M <br />_ <br />CLOT�ESNASHER <br />EVAPORATIVE COOLERS <br />.. <br />_ <br />_ <br />WATER -PATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />- <br />__ <br />DRINK •.- FOUNTAIN <br />RANGE HOOD <br />FLOG=-5 ♦K OR DRAIN <br />AIR HANDLING UNIT- C.F.M. <br />VACVL' -FAKERS <br />ROOF :=4%i-RAINLEADERS <br />INCINERATOR <br />SINK 15i RVICE-BAR ETC.) <br />QTTV "Cr %ILY BEL011 <br />SIDE YARDSCidACK <br />STREET SETUACK <br />HEAR YAROSETBACN <br />• <br />— <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />SI TURF OF CONT R AI: OR OR Al1TN.A6FNT n%TF <br />❑YES ONO <br />rErS <br />TYPE. OF COnST. <br />OCCUPANCY GROUP <br />UNITS DWELLING <br />PLAN CK VALUATION t67 <br />C�4 <br />BLDG PMT <br />512E OF BLDG <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />MECII PMT <br />PLAN CK NO <br />PLBG PMT <br />_ <br />FIRE TONE <br />B <br />FIRESPnINREaOUIREOK <br />TOTAL <br />LJYES ONO 1 <br />