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CITY OF EVERETT <br />APPLICATION AND PLI:MB�NG PERMIT <br />f�ll work to be done in accordance with <br />� Ci�y Ordinance <br />� , i <br />Everel6 Wash.... 5....... ��..... .......___ ..19�'.�_. <br />Localion of 't'�uilding...L.C.r�Q.. gyti�� A <br />�o...../... -... . .............. _ _............... <br />Owner o( Bui: g........__._...(v .�' �".�...-........<'U...�'�t�"�.�c.. <br />... ......... <br />...r........ <br />Applic^nt ......... ....... ....__. .. .....`.�_..d...�"".7.'. ..... <br />IIath Tubs_........._�.._......._........ Roof Drain..___....._._..._..... <br />Catcl� Basins ..........................._. Shower Bath....._.............._.. <br />Clolhes Washer..._�...._.........._ Stop Sinks.._.__............_...... <br />Dental Units.........__........__...... Septic Tanks ................._..._.. <br />Dish Washer ..........................._. Urinals.__......_.........._.......... <br />Drinking Fountains...._...._._... Water Closets.....�............_.. <br />Floor Draina ...................._...__. Water Heater_._ �................. <br />Kitcl�en Sinks ........................._ Wash Slands....._1........_..... <br />Panlry Sinks .......................__... Wash Trays..._..----............... <br />....__.....___._. 0 <br />._._ ......... ........ .. ___. <br />. . .f..____..........._...... <br />Pee Paid 3... �... . <br />�. .......... <br />Applicant___.. ...."'" `+�,�-........_""v'..1........_ ..............._..... <br />By.._ _, _..C�f.-:cAry..��`�' '� <br />� _...._ ....... ....... <br />Plans approved an permit granted as requested <br />herein. <br />..........__....'...._ .�Y....�....�...... _._..___...._---.Inspeclor <br />�'y ___. _._.........._.... _ _ __ ____.._ _.._........._ ................. <br />U3�r • ..� <br />PERMIT Nq 95,1 <br />