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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All work to be done in accordance with <br />City Ordinance <br />Everett, Washl".:..... ;'.9.}...... 19.61.. <br />Lucatiou of Buildin 53 iV r aK�. <br />Owner of Buildin ...� t w <br />:...................... <br />Applicant........., ... ...................�.....`!...r <br />................... <br />Bath Tubs............. ...................... Roof Drain............................. <br />Catch Basins....... _.............. _ Shower Bath....... I ............... <br />Clothes Washer... . 1 .................. Slop Sinks............................ <br />Dental Units ............................... Septic Tanks,........................ <br />Dish Washer ............................. Urinals............. -................... <br />Drinking Fountains_ .. _ ..... Water Closets. z . <br />Floor Drains ... --- ... .... . _._ Water Heater .... .... <br />._......... <br />Kitchen Sinks ....... J ................. Wash Stands z <br />Pantry Sinks......_ __ ... Wash Trays I ...... <br />_............... <br />.... <br />Fee Paid $....... M ............. <br />Applicant.... <br />J <br />....... .�.!R................................................ <br />By... <br />...... ¢.t�i............w....................... <br />Plans <br />herein. <br />appr ped and/�ermit granted as requested <br />�1t <br />_ <br />. <br />.._.......,... y.r .�?'d'1<`'`f:a._.. i............ -..Inspector <br />By- .............. <br />............................................ <br />PERMIT N4 8104 <br />