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� <br /> J <br /> CITY OF EVERETT � <br /> APPLICATION AND PLUMBING PERMIT <br /> Al1 Nork to be done in accordance with � <br /> City Ordinance <br /> , <br /> EvereU,Wash...... ..✓...:..•.'r...'1.:�.........._19.�:.:� i <br /> Location of Buildin ' ,� � ' I�Zo-w.-t�,-:,,,,...._....... � <br /> g.......' ..:: ... .............................. <br /> i . , � <br /> Owner of Buildin l'y "" '�`��`'`"��'�. .... - - <br /> g............:..............................:..... <br /> ApplicanL.__.......�ii:..<.-`.:��:fi.-L::_.'• �:��:�.�........................ � <br /> l <br /> � <br /> BathTubs..................j............... RooE Drcin............................ <br /> Catch Baeins.............................. Shower Bath......................... <br /> Clothes Washer.........�.............. Slop Sinks....... --................. <br /> Dental Units............................... Septic Tanks......................... <br /> Disl�Washer.............................. Urinnls.........:......................... <br /> Drinking Fountains.................. Water Closets........�............. , <br /> Floor Drains............................... Water Heater.......�.............. <br /> Kitchea Sinlcs...._..._1............... Wash Stands......�...._..----.-' <br /> Pantry Sinks............................. Wash Tiays.......................... <br /> ............... .................................................................................... <br /> ............................................................. � <br /> ............................................. , :-r, � <br /> • Fee Paid S..�..:�..v._.......... <br /> , <br /> Applicant........................................................r......;'__...`...,........ <br /> ' � ,. �i �: �- .:�'�= �J Z ........�---....... <br /> � � 1.9..0.. ........................................ <br /> By....... .........� <br /> Ylans approved and`permit granted as requested <br /> hur�in: <br /> • [ s �`_.`.1........................Inapector <br /> , ..... ._..............:.._:........ <br /> :.. . <br /> . � <br /> , . <br /> .B ! i.L� ......... ' <br /> , .................................................. . <br /> . � �.,--�.,....,.,...-........._..... <br /> '�1..4r_ - . . <br /> _ PERMiT ri� 961 S <br />