23-101750-PermitApplication2-4-10-23VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how ntany of each type offtxture to be installed or relocated as part of this project. Do not include e7dsting fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS )Commercial)
BOILERS FURNACES HOT WATER TANKS )Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
s
Indicate how many of each type offtxture
to be installed or relocated as
part of this project. Do not include existing
res to remain.
BATHTUBS for Tub/Shower Combo)
LAVS )Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS )Kitchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF SSISTINCi IMPROVEMENTS
ZXUnWG/PREVIOUS USE
LOT SIZE (In Square Fast)
BASTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
,x1 ST( Ntl
1
❑ Yes A No
❑ Yes I/ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
FJt]BTI116
PROPOSED
TOTAL
__---
**NEW SOME$ ONLY"
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
care Feet
Occupancy Groups)
Construction
# of
Stories
Additional Information
i
i
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin # 100 - February 19, 2020
L,
Page 2 of 2
k \Handouts\Permit Application