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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, Wash <br />Location of Building <br />Owner of Building <br />...... ............. <br />Applicant <br />/ <br />Bath Tubs <br />............... . <br />Roof Drain ........ ................. <br />Catch Basins_ ................................. <br />Shower Both ..../ ... .......... <br />Clothes Washer <br />............ <br />Slop Sinks _.._.......__-.........- <br />Dental Units . <br />— .... ... <br />Septic Tanks ....... ................. <br />Dish Washer ... - . .... <br />.. ... <br />Urinals .. - . .._ ........... <br />Drinking Fountains ..... <br />................ <br />Water Closets <br />PI.. r Drains ........ <br />.......... <br />Water heaters ............. <br />Kitchen Sinks <br />..... <br />Wash Stands ...... ...... <br />Pantry Sinks <br />Wash Trays ...... ...... .. . <br />....................... .... ............ <br />Fee Paid $ ............... <br />Applicant <br />By <br />Plans approved and permit granted as requested herein. <br />...... Inspector <br />By... .............. - ....... <br />PERMIT M 10722 <br />