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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 />(�\ ,. <br />Everet6 \Na;h. i�'..`-......._f..:........._19.`.3.. <br />i <br />Location of Building ., �� � ��-� � °-+u . <br />. __ . . .. ........ ............................. <br />Owner ot Buildin ��� ����}_�1 . <br />g ....... . .. ....... .. . .... .... .. .. . . . <br />' __" `_ -V'__' / : l�. . ��.. ........ <br />ApplicanL ..............._........._........ ...- - <br />_ . ...___...�............_. <br />HathTubs......_�__ ................. RoofDrain_.....__....._......_... <br />Catch Basins..._...._._....._....... Shower Balh....._�........_...... <br />ClothesWaslier...� ................... SlopSinks............................ <br />Dental Unila......._ ...................._ Septic Tanks...................... .. <br />Dish Washer....._'_........_.__.... Urinals....._....__.. <br />__.._ ..._.. <br />Drinking Founlains ........... ...... Waier Closets.... �._.. .. <br />Floor Drains...._......_......_...._. . Water Heater._..^' ............._. <br />P.itchen Sinks.....� .................. Wash Stands �_ <br />Panlry Sinks ..................__...__. Wash Trays.._...�.... _.... . <br />_ _ _ ....................................................... _..... _.. _..... _......... _. _.... _..... <br />. _ __. _.... _......_... . . . <br />.........._ ...... . . ...............O.G.................................... <br />Fee Paid 3.... ��.... ........ <br />'� ' <br />ApplicanL ............. �2,�!.�..... �. � � ' <br />7�....... . ........._... ..................... <br />B� .,.a.Tc.-�c�__�""'—�-`-T_ .,..!f�>�._.. _____.. <br />P an approved and permit granted as requested <br />herein. <br />�'��'` <br />..___ _ _...._.��!.e�....�..._ ._....__ _.. _..Inspector <br />By.. . _ _ <br />_ __ . <br />.��,. �,� <br />PERMiT N� � ,?,y <br />