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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All work to he done in accurdance with <br />Cily Ordinance <br />Everett, Wash....�'..."`:."....�/............19�..�. <br />Location oF Buildin ,�a..�..o . � f �. �✓�?�r��l.�!� <br />g........ . <br />O�vuer of Buildinq.........��=A.-^-�... � <br />Applicant ................ ............... .-SL�'!�....P �'�`. .. ........ <br />Bath TwSs......... X... �..........._..... Rooi Drain..._..._`'........_...... <br />Catch Basins ...................._..._.. Shower Bath......................... <br />Clothes Washer._}� ... ............. Slop Sinks.....--..............._.... <br />Dental Unils.__ .......................... Seplic Tanks................_ . _ <br />Dish Washer ............................. U:inals...........__.............. <br />Drinking Founlains__...._....._ Water Closets...i..X _. <br />Floor Drains.........._....._........__ Wate: Heater...X ................. <br />Kitchen Sinks......li ................._ Wash Stands ..X.X... ..._ <br />Pantry Sinks........_........... _ ..... Wash Trays ...................__... <br />_._ ........... ..._........_......_..._................._....................................._ . <br />_ ................--- .-........_................................. ......_................_ <br />�j O� <br />Fee Paid 5......d.....----...p.._.... <br />Applicant......._._....._�5-?.1�.w��....(..��:. __ ............... <br />F� � .fi' I <br />1�--�:'�...... . ..�:� - <br />By__............___ � �._._ ....................... <br />Plans approved and permit granted ae requested <br />herein. <br />f� (. / >Y-i`�-a,.(� ...............Inspeclor <br />_..__....._..._ ......._ ..... . <br />` /� <br />BY. ...........:........�r../}1.,_......._....__...............__..._.....__. <br />�t�r, �.� <br />PERMIT N� 861� <br />