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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 />, , <br />Everetl, Wash ' <br />.L..i = :t : .., . 19.:... <br />.............................r-........ .. <br />� 0 ,. � , <br />Location of Buildin . '�"-� T� <br />q.....:.`...� . �.v . <br />. ..� ....................................... <br />Owner of Building........:::�:.�.:.:f:::.ra.:a.L.��.e,=-......:i,..� . ..,.✓ <br />. . ....................... <br />� � . ,� <br />�. .. , <br />Applicant .............i�.-:::...-�:�.-... .,._ /'.I: ✓ <br />........................:�.. ......... ............ <br />Bath Tubs ................................... Roof Drain............................. <br />Catch Basins .............................. Shower Bath......................... <br />Clothes Washer ........................ Slop Sinks............................. <br />Dental Units .................. ............ Septic Tanics.. . .................. <br />Dish Washer .............................. Urinals.....................L-........ <br />Drinking Fountains .................. Water Closets.........% ... ..... <br />Floor Drains ...............�.............. Water Heater........._' .......... <br />Kitchen Sinks ............................. Wash Stands........_�-........ <br />Pantry Sinks ... ......................... Wash Trays.......................... <br />Fee Paid 5 .........:..... .......... <br />Applicant........................................................................................ <br />By......._......', /s�..:;.:�...:.��......%.•.':....-'.� ................................ <br />�:.1.... <br />Plans approved and_ permit granted as requeated <br />herein � � <br />. - `'- `j -�'- <br />. ......:..:......_�:;�;..r.r.L./..'`:f..�.-t�.................Inspector <br />�� ,1 � <br />, ? <br />. .. .. _ .. _ <br />By..:., .........:.......!'.�: ......!1.�:.a...........r........:......,................... <br />•,�.. �.< <br />� PERMIT N� 9817` �. <br />