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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All wcrk fo be done in accordance with <br />Ci1y C�dinance <br />Everctt. Wash .. . . ' . . .. � 19 - ... <br />Localion of Building .•� �' �. � . , '' °y• �i .. <br />s e <br />Owner o( Build�ng . . .• �ft•..l��� .�`�t[�'L.: ��r— <br />Applicanl .� ` . . . . . . . _. . <br />Bath Tubs . .....__....... _.._ Roof Drain ......_._......._... .. <br />Cakh Basins _....__..........._..._... Showcr Balh .�._....__ . . <br />Clmhes Washcr .... �.._........... Slop Sinks ._..........._. ._.. <br />Dental Unils .._. _. .._......._. - Septic Tanks . . _._....._... <br />Dish Washer_ _.__.__...._......__... Urinals . . . . . _..__..... <br />Drinking Founlains __. .._..__..... Waicr Closets ' _.__. <br />r <br />Floor Drains .. . .l_._...___.. . Watcr Heaters ; .. _. <br />Kitchen Sinks .. /. _...__...___. Wash :iland; � ._ . <br />Pantry Sinks . . . ... _. Wash Trays . . . <br />' .-- <br />Fee Pcid $ ..'; �, <br />f . <br />Applitan't,��,/'.(:Ol r��t�/f� /,-.._.,i�.�'.!`�ti-�C��t'�.._..... <br />By �� �r� . . ( . .. . <br />Flans .e�proved and permit granted as requested hcrcin. <br />. . ' _. . . Insocctor <br />� ` �' <br />By... ... ..'. ._.�`_.�__......_..-; .... ...._..... <br />.G1. 3 N�N ]I564 �Y\ <br />y. ��., �„_, <br />PERMIT v!' 1021fi <br />