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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />A1l work to be done in accordance with <br />City Ordinance <br />/ / <br />Everett. Wash .................... <br />.. �..........19.b.J. <br />Location o[ Bu".dirg.......yC�.%.�f ...................... . ........_�.. <br />Owner of Building......�t`.R-�r4,..�,,._°�_�C.(?w.ye,�� <br />Applicant ..................(�!Q�.C't.� � . <br />�!r��J ........................ <br />Bath Tubs .................... <br />Catcli Basins ....... ...... <br />Clothes Wash�r......... <br />Dental Units ................ <br />Dish Washer ............... <br />Roof Drain. <br />Shower Bath........�(--...._.... <br />Slop Sinks ............................. <br />... Septic Tanks......... <br />.... Urinals......--------_. <br />Drinkinq Fountains ............._... Water Closets....................... <br />Floor Drains ............................... <br />I{itcl�en Sinks ............................. <br />Water Heater ........................ <br />Wash Stands...........%. .......... <br />Pantry Sinks ................... ........ Wash Trays.. ................... <br />...................................................................................................... <br />..................................................... ..................... <br />q a-e <br />Fce Paid 5....oS.....-.-------- <br />Applicant . ............................. _ ...................................................... <br />By ...................__!�_1..4:�: ?�.. .'.z.....^.L.g...�..��..�............. <br />Plans approved and permit granted as requested <br />herein. �-�_ <br />4=% �,/ <br />...� .�-:.�it,�"!-�.`.�.._ ..................Inspeclor <br />�/ <br />sy.............. . ....... ��%?I......................................... - - <br />PERMIT N� g76p <br />� <br />