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I <br />the Evergreen <br />—— <br />CITYOF .,CONSTRUCTION c verett <br />everelt PERMIT <br />CITY HAII ]STIFI' <br />FYI RITT. NASHINGTGN <br />nml <br />BIPT OFCOVM;y,NT BUILDING MECHANICAL <br />DEVEH)• <br />PLUMBINQ�,e <br />OWNER M11nIl. nUDHE:iS <br />,II' PHONE, <br />I <br />i <br />• <br />Jowah W zltre r323 73�d 9QM 353 <br />_ <br />ARCHITEC'OP DESIGNER MAIL ADDRESS P110NE LICENSE NO <br />T <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRALTO q• MAIL ADDRESS PHONE LICENSE NO, <br />PLUMBING CONTRACTOR ` MAIL ADDRESS PHONE LICENSE NO. <br />� <br />� <br />W <br />m <br />PERMIT <br />BUILDIIVO ❑ PLUMIIING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ALDITION ❑ALTERATION ❑REPAIR <br />❑DEMOLISH 15ENCE ❑SIGN ❑6WIMMtNO POOL <br />7 <br />F <br />2 <br />I.E.ftliduft ) <br />VALUATION OF WORK <br />f �dW <br />DESCRIBE WORK <br />*aU fbr ftU wA c* uldb <br />-_T1 <br />1652 <br />PROPOSED USE <br />- <br />- <br />MECHANICAL <br />TYPE OF FUEL OIL NAT. LPG. ELEC. <br />OAII <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR Al'TACH <br />FOUR=O PIEsI 12tyr�.,A fllR it <br />LOT BLOCK—oF_ +Y <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />_ <br />AIR COND. UNITE-N.P. EA. <br />S_ I , <br />REFRIGERATION UNITE-H.P, EA. <br />BOILERS-H.P. EA. <br />I <br />GAS FIRED A.C. UNITE TONNAGEEA. <br />I <br />FORCED AIR SYSTEMS -B.T.U. M EA. <br />WALL HEATERS-B.T.U. M <br />1 <br />��A'DO MESS <br />Xj r3r4 <br />UNIT HEATERS-B.T.U. M <br />PLUMBING <br />EVAPORATIVE COOLEIIS• <br />I <br />CLOTHES DRYERS <br />FEE <br />f <br />VENTILATION FAN <br />I <br />RANGE HOOD <br />07 <br />-TYPE OF FIXTURE Of -ITEM <br />AIR HANDLING UNIT- C.F.M. <br />WATER CLOSET ITOILETI <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY IWA9H BASIN) <br />I <br />SHOWER <br />- <br />KITCHENSINK d OISP. <br />SUB TOTAL f <br />I <br />DISHWASHER <br />PERMIT f <br />LAUNDRY TRAY <br />C LOT HE9 WABNER <br />TOTAL FEE f I <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRVC- <br />TION AUTHORIZED 19 NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SU6PENDEU OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY DIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 HI VE READ AND EXAMINED THIS <br />WATER NEATER <br />_ <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR GRAIN <br />