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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />Ail work to be done in accordance with <br />City Ordinance <br />Pverett, Wash ._.% <br />l-A-re .... b4 f _ 19 , <br />Loco,"on of Building <br />_-- -- <br />3 --.14 <br />Owner of Building <br />-- - <br />......... _....... ...._..... _._._..... <br />Applicant <br />_....................... ..... _. <br />Both iubs .................. <br />_.._....... . <br />Roof Drain 1 ............... <br />Catch Basins _...... _--.___.....,,_..... <br />Shower Both -� <br />Clothes Washer .... <br />,_------ — <br />Slop Sinks ._._..... 4 <br />Dental Units _....... <br />:_.._...:_. <br />Septic Tanks ........................ . <br />Dish Washe. .......... <br />._._.._.._. <br />Urinals .. ........ <br />Drinking Fountains _._.......... <br />_..... <br />Water Closets ........ _.... -. <br />Floor Drains .._.__._ <br />..... ........ ._... <br />Water Heaters .. ............ <br />Kitchen Sinks ..... ...... ..�.tfr..S�,.,i <br />- Wash Stands ........... <br />Pantry Sinks ... _........ <br />...... _........ <br />Wash Trays _ _............. <br />... .__._...._.............-__........._............._..............._............._..._.... _. <br />Fee Paid $ ., ......- _............... <br />Applicant..-, <br />By <br />Plans approved and permit granted as requested herein. <br />.............. ....�7.. 1 p <br />-- .....tf1,,.m.... _.. ns ecfor <br />p� L <br />By. ...,:.:........._..r ----- l--- . <br />•.���+.. ioo: ro.,a Kae mesa <br />PERMIT lv :' 10779 <br />