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CITY Of- EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All wrk �o be donc in acmrdance with <br />Cily Ordinonce <br />Ever� ash ��s'�'�'�.. r""� ..19E7� <br />Location af Buil Rg�(� �O� �. <br />� / �.. <br />Owner of Building - - <br />Applicant . /�J,'��� � �/� .. __. <br />Bath Tubs ... _.._ . �2..__..___..._. Ro Dr�in _ . ...... .__. . _. <br />Calch Basins _._ ..._ ............._.. Shower Nalh . ._.... . . _. <br />Cbthes Washer ...�_._._..... Slop Sinl.s.. .. ...._. _...... ... <br />Dental Units ..... ...._._......... . Septit Tanks . . .. . _. .. <br />Dish Washer_...____.._._.._..._._.. Urinals . . .. _ .. .. _._ ... <br />Drinkiny Fountains . ....._..._._.... Watcr Closets .�-. <br />Floor Drains .. .._.....__._..___.... Wa1er Heaters 2. .. <br />Kikhen Sinks .._ . Z..__.......... Wash Siands ..�... <br />PaMrySinks . _. ..._.._.. Wash imys . .__ . <br />Fee P iJ / � � <br />Applic N L'�CJ•'v�/I1���yca'►"t`,l�t"'*�F . . ._ . . <br />� •� <br />oY ,�.�.�_ _ <br />PI i approved and permit granled as requesled herein. <br />�Q/�d't-'�.1./ . . Inspeclor <br />y� / <br />gy_ �%•. t.. . ... _.. ..... _ .... ..._._. <br />t <br />..���.100J Io.55 MnM 31�f.r. <br />PERMIT �': 105fi0 <br />