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QTY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All work to be done in accordance with <br />Cify Ordinance <br />Everett, Wash ��. � ��c- •' _'�.� . _.19� �. <br />_ <br />Lomtion of Building i` '„�.. . �!'•.Q-4—... ..... <br />_. _.. _ .. ... _. <br />-i. p <br />Owner of Building `! � M•�'tl.... �. "�-41�C�e..... �d.�-ie_.:. <br />. _.... _.. __.. <br />V /i <br />A�plicanl_ '. .��w1 �rs..r Yl :�^r.' ... _.. <br />Ba1h Tubs_ ................................_..... Roo} Dmin . _. _..............._....... <br />Calch Basins ...................._......_._ Shower Bolh _ ..___..._........ <br />Clolhes Washer .__...__..._......_.. $lop Sinks ... _.___..._....._......... <br />Dental Unib .___...._._..._......__.. Seplic Tanks .... ......_.__... <br />Dish Wnsher_.........._.__._........... Urinals . . . <br />Drinking Fnunlaim.._ ..____....._ Waler Closets � <br />Floor Drains _. _. � <br />-..-_...._..... _ _. Waler Healen . .. <br />Kilchen Sin4s .__ .. ...........____._.. Wash Stands ' <br />Pantry Sinks . . _.. _._. Wash Trays . . . _. __ .. <br />.. . . .....-. _G ::.. ..__.._..__.... .. . . <br />Fee Paid S � "� . <br />, .. ... ...._.._... <br />•'' } / � �i �/ i <br />Applicant ' '.•�..';r.y - � _... <br />. ..._ _ _.... ...._. _. <br />By��.._�.. . � , . . _.. .^ c - . .. .. . . . . <br />Plani� approved and permit gramed as requested herein. <br />.`" <br />r; r�. <br />:� <br />� � . , Inzpector <br />BY. ... _.. . ... . __ _._... ._.._.. ..... <br />•�oioca io.�s +nv aieee <br />PERMIT �i :' 10116 <br />