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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 />Everett, Wash . ..... ...... �;,4 ----- 1 oZ <br />Location of Building .. <br />Owner of Building . ............. . / ...... z t� .......... <br />V - :T Vl� <br />Applicant..._....._.........._] � <br />Both Tubs, <br />U <br />Roof Drain . ............... ........ <br />Catch Basins .............................. . .. <br />Shower Both ........................... <br />Clothes Washer... ............................ <br />Slop Sinks . — ........................ <br />Dentc-I Units .................................. <br />Septic Tanks _ ...._..........— <br />Dish Washer.._ .................... ........... <br />Urinals .. ............. <br />Drinking Fountains .-., . .......... . ..... <br />Water Closets ___I.._......... <br />Floor Drains__..._ ........ ............... .... <br />Water Heaters ......... -- ... --- <br />Kitchen Sinks ........... . ................... <br />Wash Stands / ............ <br />Pantry Sinks . . ......... . ............... <br />Wash Trays ................... <br />oo <br />Fee Paid <br />Applicant.... ...... ... 1— ....................... .................................... ........ <br />By. ... .. ...... 41.1 ................................... <br />Plans approved and permit granted as requea I herein. <br />... .......... ....... Inspector <br />-BY i. <br />v-, 'PERMIT' 10163 <br />R <br />