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4!� <br /> CITY OF EVERETT <br /> � APPLICATION AND PLUMgING PERMIT <br /> All work to be done in accordance with <br /> City Ordinance <br /> r�a / <br /> Everett� Wash._1'�.`..�....�. `......�....,---.......19..'�?.3 <br /> Location of Building...`�.7.�....1..... ...................................... <br /> Gwnez oi Buildin ..� �- • w�'�"�..: <br /> ..V"''�...._........ ......._. ...................... <br /> APPlicant..... .......�a-v.Sl... W-0'�Q �...._..... <br /> ............................ ............... .............. <br /> P,ath Tubs................................... Roc�f Drain............................. <br /> Catch Basins............................. Shower Bath......................_. <br /> Clothes Washer_...................... Slop Sinks.._...................._... <br /> D�ntal Units............................... Septic Tanks.........�...... . .. <br /> Dish Washer............................. Uzinals............. ............ . _ <br /> DrinlcingFountains......._.. ...... WaterClosets............__ __ <br /> Floor Drains...... .......... ......_.. . Water Heater........................ <br /> Kitchen Sinks..... ...................... Wash Stands.._.......... .. . <br /> Paniry Sinks.__..... ............_._. Wash Trays.. .......... ............ <br /> ............................................................................ <br /> ..._.................1�...._.......,.',........ <br /> O <br /> _... <br /> ' Fee Paid S.. .................. <br /> . : ,. :-+— � <br /> Applicanl.�..'..x::::..:...:..�..::.......:. .„ <br /> _..........._..........._.. _..... ... ._... <br /> By.. ......._..._...........__.............................._...... ...... ....._...... <br /> Plans approved and permit gcanled as requested <br /> hereia. � / { , <br /> ?i.�....._'- •/\xSe� _�r "�'�.. .:..........................Inspector <br /> . ..,... <br /> . { ,... <br /> By.. ... .._.................__...:.. .. .....................................__....._. <br /> ..t�y,. ��� . , . <br /> PERMIT N° gs�s <br /> .�_� _,. <br />