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CITY OF EVERETT <br />APPLICATION AND NUMBING PERMIT <br />All work to be done in accordance with <br />City Ordinance <br />Everett, Wash ....... J� ... `f.........19`S <br />Location of Buildin g................................................................... <br />n <br />4ja09 5 <br />Owner of Building...... <br />•:�:-�� �......... <br />Applicant.. ......... .......... <br />4t..a!i+'................................. <br />...---- <br />Bath Tubs............ .................. <br />Roof Drain ............................. <br />Catch Basins ............................. <br />Shower Bath .........Z <br />Clothes Washer........ ( <br />............. Slop Sinks............................. <br />Dental Units ............................... <br />Septic Tanks ......................... <br />Dish Washer ............ I............. <br />Urinals................................... <br />Drinking Fountains ................... <br />Water Closets... <br />4.............. <br />Floor Drains ....................... <br />....... Water Heater................. <br />Kitchen Sinks ...... ... ......._....... <br />Wash Stands..... <br />�!................ <br />Pantry Sinks .............................. Wash <br />............................................................ C... .................................. <br />Fee Paid $.....,�.....�........ <br />Applicant ........ i..:.LiA.....Y:.�G�................................... <br />By....._...... __ .............................. .._.......... ........................... <br />Plans approved q0 permit granted as requested <br />herein. <br />...._�'ai.a: .. <br />_._................._._.. ....1. _.....:................. Inspector <br />PERMIT No 9790 <br />