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CITY OF EVERETT <br />APPLICAiION AND PLUMBING PERMtT <br />All work to be done in accordance wilh <br />City Ordinance <br />�,�� ( � <br />:1�i� ' ' , 19._.._'.. <br />Ever�L Wash........ .........�..I ....... <br />...... <br />._' �-F-� (i i : �.lroL......._ ..............._. <br />Lo�ation of Buildin �����-��-���' <br />g .....................: <br />Owner cf Buildiny.....�:�...._i.V.L�..-±".- .............................. <br />Applicant__ ............................... <br />HathTubs.......... J ...................... <br />................................................... <br />RooE Drc.in ........................._.. <br />Catcu Basins .............................. Shower Bath......................... <br />Clothes 4�/asher ........................ Slop Sinks............................. <br />Dental Units ............................... Septic Tanlcs..---.................... <br />Dish Washe= .............................. Urinals........... <br />Water Closets.... �.........._.... <br />Dzinking Fountains ................... <br />Flcor ➢rains ............................... <br />KitcUen Sinks....� .............._._... <br />Waler Iieater ........................ <br />Wash Stands... � .................. <br />Pantry Sin'.cs .............................. Wash Trays.....�.................... <br />� ' <br />' � .................... <br />utA.R' ............................................ <br />�......... <br />.. _._..... <br />...... ... .. ...... .._.._...._...................._.. <br />_._..._ ..............:......... . .� L � <br />Fee Paid $ ......................:..... <br />,: <br />.. -y _ <br />ApplicanLii �::E:<:../ - /...�. ....:.::.!:.:::.� .:::.:............................. <br />� .... <br />. ................._.............._. <br />By ...... ................. . <br />P;ans appioyed and permit granted as :equested <br />�. <br />herein. %`� ,�A <br />,l �l �'�� �J_'..:�:"; ..............................._ Inspector <br />...._........{......._....- r <br />By ........................................ .... <br />..'_' <br />„C;y. ��� <br />�'F.RMIT No <br />9R95 <br />