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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 />i <br />Everett, Wasah...... I....�-...........19�/.. <br />Location of Building .... <br />,A..(�.j. �iVSti;s .Nl/�y <br />Ownerof Building ........................................................................9rv/ <br />QQ <br />Applicant ........................I` 'g-t2nS .........en'. :Tj....... <br />Bath Tubs ................................... Roof Drain ....... ..................... <br />Catch Basins .............................. Shower Bath ............... ......... <br />Clothes Washer ........................ <br />Slop Sinks............................. <br />Dental Units ............................... <br />Septic Tanks ......................... <br />Dish Washer .............................. <br />Urinals ................................... <br />Drinking Fountains ................... <br />Water Closets......... /........... <br />Floor Drains ............................... <br />Water Heater ........... _........... <br />Kitchen Sinks ............... _............ <br />Wash Stands.................... <br />Pantry Sinks ........................ ..... Wash Trays .......................... <br />Crb <br />Fee Paid S...__ ........... <br />Applicant .............. ..........:........'............:..........................:............ <br />. <br />,/ <br />By ..... ......... ...�/✓S sr./........._�7.� ................. <br />Plans approved and permit granted as requested <br />herein. <br />r <br />...................... .............. !....... Inspector <br />By_ ................... .................................................... <br />PERMIT N° 97?1 <br />