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CITY OF EVERETT <br />ppPLICATIQN AND PLUMBING PERMIT <br />All wcrk to be done in accordance with <br />Cily Ordinance <br />, , <br />i' <br />19........ <br />✓ <br />, <br />EveretL Wash....r:.1......f-----..... <br />�; _ � � � ' � <br />Location of Euildin � ✓` .�`...`�.....�...'('"'j...:r :.............. <br />g_...,::....� �` �� n <br />�... . .`� - �'"`" .. . .... .. .... . . .. . . . . . . . <br />Owner of Building...._._.._.: .:,_^ .. <br />........ <br />� �1...... � � _ <br />� r •`. �� <br />,• �. ..:.....� ................ <br />�pplicant. ..... _ .................... .. . <br />BalhTubs__ ........................_..._ Roof Draai......................._.... <br />Calch 3asins Shower Ba&_ .................�_�-�� <br />. _. _ ...................... . . <br />Glothes VJaehe[......�.......__._.. Slop Sinks ...................._... ._ <br />DentalUr.ite .................._...._..... Sepli.cTanks............_..._...... <br />Dish Washer .............................. Urinals...__................__.._._- <br />Drink�ng Fountains........._....._ Water Closels._.........._..__. - <br />Floor Drains..._ ..................._..... Water eater................. .. <br />Y.iichen Sinks Wash Stands............_. ... .... <br />_........._ . <br />Panlry Sinks ......................._..... Wash Tcays.................._...... <br />.._............_ ................... _..... <br />.. _..---_ _.. . <br />._.__......._.__. <br />........... ........................... _....... _ ...... _.... <br />.._..........._ . , <br />Fee Paid 5... /. �." ............... <br />_ ............................._____....._........... <br />PP , <br />]{ i3can ---pP ���. � mit �� � r <br />. .................... <br />y.._.. ._..... <br />_-.. .__...:_... <br />_ __ ...........:..�.. <br />plens a roved and p granled as requested <br />hercin. <br />- � � - . , Inspeclor <br />.: .� �i � _....._ ................................. <br />B_ __ _ _ .....__. <br />y_._:_. <br />:, ��. �. <br />PERMIT N� 97?`� <br />