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CITY OF EVEREl-f <br />APPLICATION AND PLUMBiNG PERMIT <br />All work to be done in accordance wilh <br />lGity�O ' ance <br />,2 �J ! � / / <br />Evere , ash.—.�. - .... .._'...� 5......19.6�1 <br />i- ---�. �� Q� / �. <br />Location ot Building. �`�.. ,. �...-y.'�..:—...���G'.::�:.uf.�t.,t...�r�'a�-� <br />Owner of Building.....�r.S�-S�:?-.' :�-f.... �.�t�:r'........ <br />�� , <br />r'�pplican�. _.........�L4�..........1.%.::.�1,, /:�.. .......................... <br />Batl� Tubs ...............�.......... ...... Rooi DraKi..... ....................... <br />Catch Hasins .............................. Shower Bath..........�............ <br />Clothes Washer......� ................ Slop Sinks............................. <br />Den!al Units ............................... Septic Tanks......................... <br />Dish Washer .............................. Urinals............................... <br />Drinking Founiains .................. Water Closels...... ?/�............ <br />Floor Drains ....................... ....... Water Heater........f.............. <br />Kitchen Sinks.........� .................. Wash Slands........�............ <br />Panlry Sinks .............................. Wash Trays.......................... <br />............................................................. ....................................... <br />60 <br />Fee Paid 5.....�..�.......-..... <br />Applican t ........ ............ . <br />By...... ....�..�1�....'?.�� .................... --........... <br />Plena approved and permit granted as requested <br />herein. �, �; <br />_� . �o- l�Cw............_Inspector <br />..........�..4. ../�_ .:.. ............t. <br />' � ,T <br />BY.__ ...................r�.... .. r. _. _............................................... <br />.�-�. ��� <br />PERMIT Nv gg�g <br />