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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All work lo be done in accordance with <br />City Ordinance <br />4 � y <br />Everelt, Wash./��.iut<,Q„ ...�..�d....19.......... <br />Locatiun of Building...�� 3.'sl..."��f�""'..�L, <br />Go- kh.i,..'� �O'`�a..�. .. <br />Owner of Buildina...........�... . .. . <br />�S ... a-�-PJ�, �ll...., ............... .. �............ ......... <br />Rpplicant_ .............. �` �'M'�' _ <br />Ilath Tubs ................._�............... Rooi Drain......... _........__.... <br />Catch Basins_ ........................._ Shower Bath........�..._.._..._ .. <br />Clothes Washer...... � ................ Slnp Sinks....__........_..... ._ . <br />Dental Unils ........................_ .. . Septic Tanks.................. . . .. <br />Dish \yasher .............--......... __ Urina s.. ._...._ ...... <br />__ _ <br />Arin]:ingFountains....... __..... WcterClosels....Z.... . <br />Floor Drains._.._ ....................... Water Heater...._�....._......_. <br />Kitchen Sinks......_� ................._ Wash Stands_ ..z - . <br />Paniry Sinks.........__ ................. Was rays............. ._. <br />_. <br />_......_....._..._..... ._..... _._... <br />._ ......._.._.._ ............._.....__......._...........____.. <br />_ ._....._._.._ <br />o_ <br />Fee Paid $ ......... ................. <br />,�..��,,.,.'.�........ _ _......_... _. __ _.. . <br />Applicanl .......... ...... .. <br />sY.. ._.._ _ .......G�-P�..�...�.4.µ.9........_._... . ....__.. <br />Plane approved and permit gcanted as requested <br />herein. <br />� <br />.._,.._�,J �.� �u.s ...._ ............._Inspector <br />.. ._.__......._. <br />. .......�. <br />. __._ ................._. <br />y.. _ _._._._ _ _._ . <br />__........_. . <br />PERN4IT N" �� �� <br />/ <br />