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CITti GF cVE:"'_TT <br />p ppl �CATION AND PLUMBiNG PERfV'JT <br />All �::ak to bo done in accordancc with <br />Cily Ordinance <br />Lvcrctt, Wash ' , � 19 . <br />.::. ...'�. <br />� � . ' ,.!...�. <br />� • _..._.._. � <br />Locotinn of Building - � � - <br />1., � •.�r:�!.t<!'�...._.,._.' V �ti.rts.�..... . . <br />a ,-_............ <br />Owncr of 9uilding � � � ` <br />n- <br />. r:�.rr.� .� . . . <br />Applimnl ... , <br />9ath Tubs .. . ...__.......... . Rocf Drain . . . <br />Catch Basins ._._. ._ ............._...._ Shower Bath . -..... . . . <br />. _... Slap Sinks . .._._..._- .. <br />Clothes Washer -�--��� - <br />Den'al Unils ._... .. ._......__. . Septic TanAs ..._ _.��.._. . . <br />Dish Wosher __.. _.._ ........._._. Urinols . . . - <br />Drinking Fountoins ....__........._ _ Watcr Cbsets <br />Floor Drains _ . .�.._�,:,...:........ ' Waler Healers <br />Ki�chen Sinks ... . ............ Wash Stands - <br />_ � <br />PaNry Sinks ..__........ .. Wash Trays <br />.! ' <br />� Fee Paid $ `.. -.-. . <br />qpplicont . . . � . ` �.�, . .. <br />ey ' _ _ <br />Plon, ❑pp�oved and permil gmnted a� requcsted hemin. <br />� . . Inspector <br />BY. . . . . . .. . _ .. .. .. <br />.y_N�. ao- in .. nm� .i ..�. <br />PERMIT �': 10637 <br />0 <br />