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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All work to be done ir. accordance with <br />Cily Ordinance <br />( s`� <br />Everett, Waeh.........�-fi �...!..7._......19...'.... <br />Location of Buildinq......: �.`�..7.0..3....�.�.�f--.,j��=��� <br />q (.� [L —. � <br />Owner oE Building.....��'!'^.:�!`.�:.....`�..`�/•�v............ <br />-/ � /� ;1 % i <br />Applicant _ .............. `.5..:1L .X........ (J._:.. ....... .... <br />BathTubs ................................... Aoof Drain............................. <br />Calcl� Basins .............................. Shower Balh......................... <br />Clothes Washer..........�........... Slop Sinks ............................. <br />Dental Units ............................... Septic Tanks......................... <br />Dish Washer .................I.......... Urinals................................... <br />Drinking Fountains .................. Water Closets....................... <br />Floor Drains ....................... ....... Water Iieater........................ <br />Kitchen Sinks............1 ............. Wash Stands........................ <br />Panlry Sinks .............�............... Wash Trays.......................... <br />................................................. ...................... ............. <br />................................................................. .................. <br />00 <br />Fee Paid 5.......�...:..=....... <br />Anpli: anl ....................:.............................r.........../..........._........_--' <br />Ey...._.........1�..:/t...l..%�....l..b..�..`...-'- .............. <br />Plans approved and permit granted as requesled <br />herein. <br />' : i , <br />/ �» Lt. <br />L. �,.r.�:..._..-.�j..._ ...................Inspeclor <br />............._....... 1 <br />By..._ ..................�.(.....t j�.-.....�........................................... <br />PER�91T N� 9955 <br />