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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 />- . , _., <br />Evereff, Wash ...._�.%:�:�<_-i.{.._.: � .. ._ _. 19 � �..'. <br />.:.- ' n�/ ,��/ '� � <br />Locclion ci Building �::('.'..�....t...._1✓..5.:1�?,'..r..��_ ............. <br />Oevner of Building � � � � ' �^ � � � ' �--'-''-..-..-..-... <br />• <br />__.._�._�e_�.......,.._�-.:....�::..-: `-..... <br />_. � <br />-• ;'- f � � y ' I .. <br />Applicant....___ ..._..:... .: ,... _L _...... ... .. <br />/ ,, <br />Bafh Tubs._..........._-.`.-,...._............ Roof Drain_..___....._._......_..... <br />Calch Basins_......._ ........................ Shower Bath _.. _........__..._.__. <br />Clothes VJashe�. ..._.� ................... Slop Sinks ....._ ........_...----........ <br />Dental Unih _.---.__ ................_...... Septic Tanks ......_..._............_. <br />Dish Washer ................................._ Urinals ...... _ _. __.........._..... <br />Drinking Founlains ......................_.. Waler Close!a .._.-�........_. <br />Floor Drains ..............._.....__........... Water Heaters ...... f...... <br />�/ _ _.. <br />Kitchen Sinks........_..�.._ ................ Wash Stands_.__T......---.._.... <br />Ponlry $inks ..__......�.........._........ VJash Trays _ _ . __.........._.. .. <br />..... _.._......._._.__..._..__..___ .............................._........_. .. .._.._ .. .. _. <br />Fec Paid S, ..'.:: -'...-.�+ <br />_ i . . .' `........... <br />Applimnt.. . ..... _ .�_ . _ _ .. ..._ ......... . .__._. . . <br />By. ...." . ._ ':..�`_ ....� .__ .. . .........._ __................. <br />Plous ��approved and._ permil �granled as requested herein: <br />- � i' f > :._. .. .. , . <br />_ ..�� ..: _.-.. '.. U!'-. � ..........._ . .. Inspecfor <br />, <br />/ <br />. <br />B � _. il '' '�{-' ` <br />_ y ......_, ...._. __..'.""........_ .............__ __....... <br />� r�i .IOOJ IO�GS NGN DIl66 <br />PERMIT N�' 10379 <br />