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(PERMIT APPLICATION ' /o 3 .7c <br /> BUILDING ' MECHANICAL PLUMBING <br /> OWNER MAIL AUUHL!.S ZIP 1'l1UNk <br /> _ 71� L Le ;7 G- <br /> ARCHITECT OFICOEbRoNtH MAIL AOORES NONE LICLNSE NO. <br /> GENERALCONTR TOR MAIL ADDRESS PHONE LICENSE NO. <br /> MECHANICAL CONTRACTOR MAIL AGGRESS PHONE LICENSE NO. <br /> PLUMBING CON7 RACTOn MAIL ADDRESS PHONE LICENSE NO. <br /> CLASS OF WORK <br /> NUMBER. OF STORIES_ -r]BUILDING ❑PLUMBING ❑MECHANICAL <br /> BASME:'T CS NEW ❑AODITION, ❑ALTEnATION ❑REPAIR <br /> VALUATIOd OF WORK <br /> ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br /> DESCRIB WORK <br /> PROPOSLDUS <br /> LEGAL DESCPIPTION OF PROPERTY ISHOW BELOW OR ATTACH <br /> FOUR C''OPSSIFSI <br /> LOT L BLOCK—OF I <br /> JOB ADDRESS <br /> PLUMBING MECHANICAL <br /> '- TYPE OF FUEL ❑OIL ❑aAg. OLPGw PLOT PLAN <br /> NO. TYPE OF FI%TUNE OR ITEM NO. TYPE OF EOUIPMENT Draw plot plan <br /> AIR COND.UNITS-H.P. EA. <br /> WATEF:,:.SET ITOILETI REFRIGERATION UNITS-H.P. EA. On back side. <br /> BATHTLi <br /> _ LAVAT:PY [WASH BASINI - BOILERS-H.P. EA. <br /> SH67%F4 GA!:FIRED A.C.UNITS-TONNAGE EA. <br /> KITCF`E'.S'NK A DBP. FORCED AIR SYSTEMS-R.T.U. M EA. <br /> DISNN,:--q WALL HEAT Ens-R.T.U. M <br /> LAUNC-` TRAY UNIT HEATERS-B.T.U. M <br /> CLOT'-.5 AASHER EVAPORATIVE COOLERS <br /> _ WATEa.FATERCLOTHES OR` ERS <br /> Unt%AL VENTILATI JN FAN <br /> OMNK:-.! FOUNTAIN HA . C HGnD <br /> Fl OO'•S \\ OR DRAIN <br /> I ACVL-" -FAKERS AIN HANDf,INT UNIT- - C.F.M. <br /> HOOF C=SINS-RAINLEADERS INCINERATOR - <br /> SINK ISEAVICE-PAP ETC.) <br /> _ CTTV 11cr 0! LY BELOW <br /> SIDE YARDSLIBACK STREE7S1z7IJACK IILARYAnOSETBACPI <br /> x <br /> USEZONE LOT AREA VACANT SITE SIGNATURE OF CONT ACTOR OR AI1714.AGF NI DA1f <br /> ❑VES ❑NO rEES <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWLLLING � <br /> UNITS PLAN CK Z-L _ VALUATIONBLDG PMT �yj <br /> SIZE OF BLDG. NO.OF 67On1LS MAX.DCC. LOAD MEC1I PMT I PLAN CK NO 10-:J/ :, <br /> PLBG PMT — <br /> nnL U UNEBASEMENT <br /> RCOU114 oK 11 TOTAL <br /> ❑Yrs ❑NO 1 <br />