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CITY OF EVERETT <br />,4PPLICATION AND PLUMBING PERMIT <br />All wozk to be doae in accordanca with <br />City Ordinance � <br />Everett. Wash...._!`^"'".�......`�.�_i......_19.�'_�- <br />Location of Suilding .. J. ��� c"�.. <br />_ .............. ........_.......... <br />Owner of Builcling......�'.'1'''L.........�'�Jw1.L.a`." ................... <br />A hcanL .............,...�A.G°'LF..'..''`c....�'��.'..�_..�.'�..,..... <br />Bath Tubs ......................r.... ...._... Rooi Drain............................ I <br />Catch Basina ...................... ...... Shower Bath......................... <br />Clothes Washer ........................ Slop Sinks............................. <br />Denkal Uniis ...................._._...... Septic Tan;ca_.................... .. � <br />Dish Washer_._...._._ .. ............ Urinals._.........._..................-. <br />DrinkinqFounlains.._._.__...... WaterClosets.....� ............... : ;�.',�'r <br />Floor Drains._._..........._ .._..... Water Heater ........................ <br />Kitchen Sinke...... � .................._ Wash Stands __.... _ _ _..... .. <br />Pantry Sinks ................_--......_.. Wash Trays.__..............._.... <br />�!.'�_._...._ ....................................._. _........._.............................. <br />_.. ...._ ..3_0 0.._........_.._. _._.._............ <br />Fee Paid $ ............... .......... <br />Applicanl.._ _..�Ja'`.�'�"""_r p._.........._ ...................... <br />By......_..... _ . <br />...:..........:.............,..._:...:..:... ..._ _:.. <br />Plans approved and permit granted as rnqueated <br />herein, <br />i^ ' . <br />___.... �-!.�.y.�.. ................ ........Inapeclor <br />By.. ............_....... ..__ ...._ _ ......_....................;.... ............. <br />,.,�i,. ., � <br />PERMIT N° 85?5 <br />