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(PERMIT APPLICATION' s4`'"Z <br />BUILDING MECHANICAL PLUMBING <br />OWNkN <br />MAIL AUUHL::S ZIP <br />IIHUNL <br />AR F11 ECT OR DES( G NER <br />MAL UDRESS PHONE <br />LICENSE NO. <br />GENERA}CONTRACTOR <br />i <br />MAIL ADDRESS PHONE <br />LICENSE NO. <br />f ~ <br />MECN NICAL CONTRACTOR <br />MAIL ADDRESS PHONE <br />LICENSE NO. <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS PHONE <br />LICENSE NO. <br />CLASS OF WORK <br />NUMBER OF STORIES <br />QBUILDING ❑PLUMBING ❑MECHANICAL <br />BASMENT <br />❑NEW ❑ADDITION, ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />:,L C• I <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />S , <br />DESCRIBE WORK <br />J / 0 <br />1� <br />PROPOSED USE <br />0 1 <br />LEGAL DESCPIPTION OF PROPERTY ISHCtW <br />BELOW OR ATTACH <br />FOUR COPIES( <br />LOTSLOCK_OF <br />"1 1 �•. 7• IJ!!I�',T - t>\l.. I>,L.r <br />JOB ADDRESS <br />7- <br />PLUMBING <br />MECHANICAL <br />- <br />PLOT PLAN <br />TYPEOFFUEL <br />❑OIL NAAT. LPG. <br />Draw PIOt Plan <br />On back side. <br />' <br />_ <br />NO. <br />TYPE OF EOUIPMENTAIR <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />COND. UNITS-H.P. EA. <br />WATER C:CSET (TOILET( <br />BATHTUB <br />REFRIGERATION UNITS-H.P. EA. <br />LAVATCRY(WASH BASIN) <br />BOILERS-H.P. EA. <br />SHOVER <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />KITCHS•.SINK & DISP. <br />FORCED AIR SYSTEMS-R.T.U. M EA. <br />DISHNASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDR• TRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES IYASHER <br />EVAPORATIVE COOLERS <br />WATERHEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKIN3 FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />RANGE HOOD <br />VACUL'!'>REAKERS <br />AIR HANDLING UNIT- C.F.M. <br />ROOF C-AINS-RAINLEADERS <br />INCINERATOR <br />SINK (SERVICE -BAR. ETC.) <br />v cr. ONLY <br />BELOW <br />_ <br />REAR YAFIDSETBAC <br />SIDE YARD SE -BACK <br />STREETSETUACK <br />x <br />/• <br />USEZONE <br />LOT AREA <br />VACANTSITE SIGNATUREOF CONTRACT ROR AIITILAGEN DAZE <br />OYES [:)NO FEES <br />OF DWELLING <br />PLAN CK k 1 <br />VALUATION <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />UNITS <br />BLDG PMT 1'� <br />LOAD MECII PMT <br />PLAN CK NO'I(-1 - ZZ ZI <br />SIZE OF BLDG. <br />NO. OF STORIES MAX.00C. <br />IncSPRINK LE PLBG PMT <br />TOTAL <br />FIRE 20NE <br />F <br />REOUIRF.D <br />t <br />DYES ❑NO <br />