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ivlL..i Il�ivl..i'•�� �_i�.�:i i� i. <br /> � � MECHANICAL INFORMATION �����;� y�1, �k� ':� <br /> � ` ++��9 ��� ' t , Slate Bond•No. • Gas Fitlers�icenso No. <br /> ._ ., �'3:�c�� �i,4 3 50..3 <br /> MECHANICAL CONTRACTOR Namc!Address/City/Statc 1 L ip!Daytime Telephone (p�Z_ aZj..(,g fn�- ESTIMATED VALUE <br /> /�r r.� , : �.;-E,2�� y b 37 C:�-l��C'A c,o �E S- M o�. v�-+ � s 5-y o� <br /> WARM.AIR . ' AIR CONDITIONING SYSTEM <br /> UNDERGROUND DUCT SYSTEM: Yes ( ) . No (�') <br /> Graviry ' <br /> Forced Tons Z- CFM �o�u Ductwork G�� � <br /> Input B.T.U. '����� `Output:B.T.U. <br /> VENTILATION /AIR EXCHANGE <br /> �h�.u.st Onlv Air Exchang -e Unit <br /> No. of Fans, 5ize Type Type-Mixing Box <br /> • Heat Recovery Ventilation <br /> C.F.M. Del- Static Pressure Recovery Efficiency ' �O 9"� Net Air Flows <br /> Where ventilation is used/located <br /> WET HEAT GAS FITTING PERMITS , <br /> Baseboard In-Floor(Wirsbo) <br /> Steam Hot Water ❑ Dryer o Water Heater o Fumace <br /> Gross Sq: Ft, : Input B.T.U. ` ❑ Gas Log ❑ Unit Heater o Fireplace <br /> 'New Repl. Addition ' ❑ Stove ❑ Grill o Other <br /> O�ce Use Only: Mechanical or Plumbing Comments: <br /> Mechanical Permil Fee: $ ._____ <br /> Gas Filiinc� Permil Fcc: $_��_____ _ <br /> Mechanical Surcharge: � ____._�9� <br /> Gas Fitting Surcharge: $ —_.�9� <br /> Olher: $_---------_� -----�- <br /> Total Mechanical Permit: $ <br /> PLUMk�ING PL=RMITN <br /> PLUMBING INFORMATION <br /> Slale Bond No. Slale Plumbers License No. <br /> i 330� � l _ �03 <br /> PLUMBING CONTRACTOR Name!Address I City/State!'L ip I Daytime Telephone -�b3�y 9�-22 4 O ESTIMATED VALUE <br /> � � l��v �i���c�1(� 4�q l M a � .1 C--rt ►�E I��. S�i� M�e�+ra�2, <br /> CLASS OF WORK: (X ) New ( )Addition ( )Alteration ( ) Repair <br /> O�ce Use Only: <br /> Water Closet(Toilet) [3athtub Floor Sink or Drain <br /> I_:iv�lory (W�sh f3�sin) Sh�wer Piping/Trealing E�uipmenl <br /> Kilchcn Sink �� Disp. Dishw�shcr Ca�ch [3rasin <br /> ----,__ _ __ _ _ ---– <br /> Laundry Tray _ _ Clothcs Washcr ____ Vacuum Breakers <br /> Water Heater Waler So((ener Lawn Sprinklcr System <br /> Urinal Drinking Fountain Roof Leader-Rainwater <br /> f____ Ro�gh-in Future Fixlure __ Sump _______ Scplic Tank & Drain Field <br /> Misc. Fixlures <br /> Slale Surchc�rc�e: � .._.._.._ ... . ...50_.._ <br /> Total Plumbing Permit: $ <br />