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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 />Evere�L Wash........�....�.,......19..6.� <br />Location of Building.....�`.k!_Q..�--...�4f'�-��x!-!^'..---...... <br />Owner oE Buildin ��i".:�.....���-C.••-"���' <br />q......... .... ............ <br />ApplicanL _ _ _........ _�cu-w'!.`�"'�' ...................................... _.. <br />Bath Tubs ....................... ......... Aooi Drain............................. <br />Catch Basins .............................. Shower Bath..........�............ <br />Clothes Washer ........................ Slop Sinks............................. <br />Dental Units .............._...._......... Septic Tanks....................._. <br />Dish Washer .............................. Urinals. ... ........................ <br />Drir.kinq Fountains..._...._....... Water Closets_......%...... ..... <br />Flooz Diains .............................. Waler Heater........................ <br />Kitchen Sinks..........�............ Wash Stands ........................ <br />Pantry Sinlcs .............................. Wash Tiays.......................... <br />_ ...... _ .................................................... ......................... _...... <br />. . ............ ......................................................... <br />.... // Po <br />Fee Paid $....T.....'-........ <br />A1plicaul ............ ......................................... ................................ <br />sY........... �': �.u..r.,(,'.r...�-.`L.3..3..7 .............................. <br />Plans approved and permil qcanted as requested <br />herein. � <br />s ,r Y <br />Ia. t...) lo-t.e�, ................. .........Inspector <br />...... .... ......... <br />Ey__..._........ f.�. � ......................._................ ............... <br />PERMIT TT� g94� <br />