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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All work V be done in accordance with <br />City Or::inance <br />Everett, Wash..,'.....�..'...19.!L�.... <br />. <br />Location of Buildin g r <br />"'p9} <br />." .. <br />Owner of Buildiinnng�.:^"'`.^..`.^...` .L....Y!o!' !�w.!X....... <br />!'.4'.........r� <br />Applicant......... �'.^...o!�.'.^..'....... <br />°r ........ <br />Bath Tubs ................................... <br />Roof Drain............................. <br />Catch Basins .............................. <br />Shower Bath ......................... <br />Clothes Washer__..__...._....... <br />Slop Sinks ............................. <br />Dental Units_.._ .... .____ ._... <br />Septic Tanks ........... ___..... _. <br />Dish yJasaer.......__..._..-........ <br />Urinals ................................... <br />Drinking Fountains .................. <br />Water Closets ...... <br />Floor Drains..._ .......................... <br />Water Heater........__..._.._. <br />Kitchen Sinks ............................ <br />Wash Stands <br />Pantry Sinks._ ........................... <br />Wash Trays.....___ _.. .._. <br />.............................................................. ................................... _. <br />of <br />Fee Paid $........................... <br />Applicant.........�.2 m tx4 -� t..........�,-�!L!*�i45........... <br />ra. � . �......................... <br />By ..............._......... ...................... <br />Plans approved and permit granted as requested <br />herein. <br />Z�raF <br />.................................Inspector <br />1 <br />By.. ..._ ........ <br />,.c I <br />PERMIT N? 8079 <br />