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CITY OF EVERETT <br /> APPLICATION AND PLUMBING PERMIT <br /> All work to be done in accordance with <br /> Cily Ordinance <br /> � <br /> �'....�f.........19G'_�:.. <br /> EveretL Wash......._.✓.............. <br /> � G' � <br /> � U , r {.,�........................... <br /> ...... <br /> Location oE Building.....:...................... <br /> � �'`.n.`.`J` <br /> .......... .............................. <br /> Owner of Building........................... � <br /> �l� V�-�!-.H.��.,.J...... <br /> Applicant......... .......... <br /> .... ........................... . <br /> BathTuba................................... Roof Drain............................. <br /> Catch Basins............................. Shower Bath......................... <br /> Clothes Washer........................ Slop Sinks......................... ._. <br /> Dental Units............................... Septic Tanks...................... <br /> DishWasher..............._............ Urina s........................._.. <br /> Drinking Fountains._........:...... Water Cloaets.....�.... -- - <br /> F1oorDrains_.. ..............._...._... WaterHeater........................ <br /> KitchenSinks...........1............... WashStan s.__..._. . <br /> __ <br /> Pantry Sinks.................._........ Wash Trays............. ....._..... <br /> ..............................o.�......... <br /> ............... .... <br /> .... <br /> ..........._ <br /> • . . . ....... <br /> Fee Pa�d $.....:............ <br /> � � , �;, <br /> � y � ..�.iw,w.�ld,�,... <br /> ' .... ..... <br /> 't.C'!.�}v�-.....e._"..:...`.�....... . <br /> Applicant............�' . .. � �� <br /> l.s;�.Q�...............�.......................... . <br /> By.. ............._... . <br /> Plans approved and permit granted as xequested <br /> herein. a <br /> 1...��'" f...�......................Inspector <br /> �.. <br /> . ..._. ... ... .... .......... <br /> By.. . _.............__ . . <br /> _........ ..._... . ................_..._......... <br /> „�,.. . � <br /> PERMIT N° 8 4 4'� <br />