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CITY O F EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All work to be done in acwrdance with <br />City Urdinancr. <br />Everefl, Wash ._C...!�.... 19�a �� <br />a �-o �7� ,,a-� S.l✓_. <br />Localion of 9oilding � -- <br />Owner of Building_ ..��/7 �� d/i�' �'�^14`�-�"...... <br />Applicanf .. . (� � .- - . <br />�� � ... . .. .. .. <br />Bath Tubs__ ..__ _. ...._....._........ Roor Dram . . . __. <br />Catch Basins....._. ___.__.....__...._ Shower Bath . ..._�r. __ .. <br />Glothes Washer. .__�...........___... $lop Sinks ._ ...._._...___..... <br />Denfal Unils ___.. _.._...._.._...... _. Septic Tenks . . ....__.. ._ . <br />Dish Washer .............�._..............._ Urinals . _.... ._..._..__. . . <br />Drinking FouNains _...__ ............... Water Closeh ..� <br />Floor Drains ..._....__.._......._.._. Water Neaters � .. <br />Kitchen Sinks .. .../..._.........._...... V/ash Stands . �. _ .. . <br />Panlry Sinks . .__..._.. ......___ N�ash Trays ... <br />.. ._�....� �.. . _ _.. _. �t........ <br />_ <br />... . fez Paid $.. 1..�/���.. .. _ . ._ . <br />Applimnt . ... ._. . . _ . . .. . . <br />n ,. <br />e i ��� n , f��i�..�l _ _ _ <br />Y : . .. <br />, <br />Pluns approv�and permit g�6Ned os �zquested herein. <br />� :- ( <br />: :.,�����'�. <br />. . , ��!;� � . . . . Inspector <br />. 'C-�., <br />gy . . . ...t .i ) :✓! f_ .. . .. ... <br />. .. _. ... _ . .___. _.... <br />..�+�.,.�000 io.es neN aisso <br />PERMIT �i�' 10096 <br />