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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 />y . ' <br />Everntt. Wash..!r.� �. J/:.....G._ :............19. '_� <br />�ll G l........._�:t:�'.0.c�n..<a!:'.`.�............ <br />Location of Buildinq ................ <br />Owner of Buildin `� �'�''`������.......... <br />g....�.r��..w ................................ <br />Applicant..........................'..:....................:....... ....... :......``............ <br />BathTubs .. ............�.................. RooE Drain............................. <br />Catch Basins .............................. Shower Bath......................... <br />Clothes Washer ........................ Slop Sinks............................. <br />Dental Units .................. ............ Septic Tanka......................... <br />DishWasher .............................. Urinals.................................. <br />Drinking Fountains .................. Water Closets.......�:............ <br />FloorDra�ns...........� ................. WaterHeater.........�.............. <br />Kitchen SinYs.......f .................... Wash Slands........f.............. <br />Pantry �inks .............................. Wash Trays.......................... <br />......... ............ .................. <br />... ............................t.=................................. <br />. ............................. . .. <br />Fee id 5.....�- ............... _ � <br />� // <br />ApplicanL.. '..li. .�tQ.?.��ia!����ltA.... <br />' .. . .. .................:...... ............................... <br />B, .; ....- ..................... . . <br />Plane approved and permit granted as :equested <br />heroin. � �.�y.C�. <br />.��.:�.:�...��..lei.,- ..._...__..........:.Inspeclor <br />....... ..�. <br />B y ........................................ . <br />...................... ............. <br />..�q....� <br />PERNfIT N� 9��1 <br />