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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />AM work to be done in accordance with <br />City Ordinance <br />Everett, Wash .... 19 <br />Location of Building ...... V,AAA <br />-- --- .......... ---- <br />Owner of Building ........... <br />Applicant .......... <br />Both Tubs .......... ...... . ......... . ..... Roof Drain .. .... ....... ............. <br />Catch Basins...__._...._..._.._._...... Shower Both . ........... ........ . ...... <br />Clothes Washer.__........._ ............... Stop Sinks. .............. - <br />Dental Units ...... ............ . . . ......... Septic Tanks .......... - <br />Dish Washer..._.._......_.._.._.___.... Urinals .............. <br />Drinking Fountains ......... . .. . . . ..... Water Closets <br />Floor Drains ............ / ............... --- Water Heaters <br />Kitchen Sinks......_....._...._ ............. Wash Stands <br />Pantry Sinks Wash Trays <br />Fee Paid $ <br />Applicant <br />By <br />Plans approved and permit granted as requested herein. <br />Inspector <br />By <br />1 31566 <br />PERMIT N-19 10263 <br />