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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All work lo be done in acmrdance wilh <br />City Ordinunce <br />� <br />Everetf, Wash .__.J`ri�_ -'�:...'-. . .. 19'�� <br />%� � O 7 / .�..., <br />Localion of Building . ....._.. . ... ....._...� __..... ... <br />:, <br />Owner of Bui�ding ...���...... /�"(�c.,1;tieL�'__---_._._.. <br />Appliwnl _1/u-�y/c'.'✓. .( �.(ti-C' . /`'� , . .. <br />Bath Tubs _._.._.__........._ ................ Roof Drain _�_ _..__...... <br />Catch 8asins ........................._........ Shower Bafh ..................__..... <br />Clolhes Washcr __L......_....._._... SIo��Sinks..__.__........_....._..._.. <br />Dental Unifs........_ _..__..........____ Sep.fc Tanks _. _ _ _.__....._-. <br />Dish Washer............_...__ ............._. Uri..als . .. _... __ .._.. __.. <br />Dr.nking Fountains ..._ _........._.... dJater Closets . .. . <br />Floor Draint_._........._....._.__....... Water Heaters . . _ . . ... <br />Kitchen Sinks ................................... Wash Stands . . . ._...... _. <br />Pantry Sinks ..__ ....................._ Wash Trays ..._ __... _ . . . <br />.. .. ... ._. _ __._........_..___........ ..___. - _ _. _ . _ . <br />. .. . � �.-e. <br />Fee Paid $ . . ....""'......... <br />Applicant hJ�.GI`-C�t-�.L�l�...�1�.,�...%��! . . <br />gy `, �, �,GV _ '�G c .t�e-�9--_ _r�.._ <br />P!ons appro�d and permit nted as requ herein. <br />\ <br />. _'O��i� ��o-L-r..e,�. . .. . Inspecfor <br />gy. .. .___.%l' �/L�,,....._--___.___._......__...__....._.. <br />�..`c.^���OOO 10�U5 H�M ]ISGG <br />PERMIT N:� 10810 <br />