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C!TY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All work io 6e done in acwrdancc wi�h <br />Cily Ordinance <br />Everelf, Wash _ '-s.--.:.-_. . _ 19 <br />loca�ion of Building �- _ , ", �-i !_.� �'t-�-�+ ...._ <br />..�:� , .° �) :, <br />Owner o( Building .� :��. !.c._f:rC:-c.�<1,�f.-v,_..•�.:_... <br />�� � <br />Applicant ... .. . .. ._ . . . . � � �r <br />�, / <br />Bath Tubs <. � <br />_.. ........._ ..... Rool Drain . . . <br />Catth Basins ...._. ._..._ ............._. Showcr Balh . ..._... _ .. .. <br />Clothes Washer. . ..L.. __......_._ Slop Sinks . _ ..._...._ .. . <br />Dental Unifs .. . ..._ __.........._., Se{i ic Tanks ..... _. ___ __ . <br />Dish Washer._._...G�_. __....__.... Uri�als <br />.. ... .. .. _. _.. <br />Drinking Fountains . .........._._. Waler Closels �-- <br />Floor Drains _. _ . ........... . Water Heafers /� <br />Kitchen Sinks _ ! ._...........__ Wash Slonds . . .�'... ... <br />ponlry Sinks __......__... Wash Trays . <br />; f ,y� _ . <br />Fee. Pcid $ ; -.; . M ` � <br />' �� � . I'. •- <br />Applicon� i - - ��'Y-.����b'_�L;..[.... <br />By. .. . . • . . . . <br />Plans approved and permit grantcd as requesled hcrcin. <br />... . ' . " �..�� Inspector <br />BY. ' . . . . . . ... . ... . . . . .. <br />.+{(�'�'--�1o.lOO.I IU�GS H�H ]I56G <br />PERMIT �i�' 1Q104 <br />