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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All work to be done in accordance with <br />City Ordinance <br />Everett. We sh.. ........ <br />Locatior.. of Building 0 <br />.......... <br />Owner of Building ..... x4.-.4Aj ....... 4'. Zor . .......... <br />Applicant ..... (112L&— ..................... ...... <br />Bath Tubs . ................. Roof Drain.......__._....__._.... <br />Catch Basins.__....._.........__._. Shower Bath... X ................. <br />Clothes Washer.. ...... ....... Slop Sinks....._...................... <br />Dental Units ....................... ... . Septic Tanks.................._.... <br />Dish Washer .... ......... Urinals <br />Drinking Fountains._...._ Water Closets.. ........ <br />Floor Drains__ ......................... Water Heater........................ <br />Kitchen Sinks ...... ..................... Wash Stands )�,. .— <br />Pantry Sinks_...._ ...................... Wash Trays...._._....__..._. <br />............. ............. — .. ....... .._ ...................... <br />........... -.1- . .............. .. . .................... <br />Fee Paid S.....3... :! .............. <br />Applicant..........._. ....... ........ I ....... ..... .......... <br />By. ............ ..... ...... ...................... <br />Plans approved and permit granted as requested <br />herein. <br />.......... ............. ............... ....Inspector <br />Bv� . ..... <br />PERMIT <br />