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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All work to be done in accordance with <br />City Ordinannce� Q C/ <br />Everett, Wash ....1 ��f.'.... <br />%�•-�..... <br />Location of BuildingQ O � --•-l' ..-1 .- - - - <br />Owner of Buildin g......................... <br />Applicant .............. !/..'-=s-�...... -........... ........................... <br />BathTubs ............. %................... Roof D ain........................... <br />Catch Basins .............................. Shower 73ath ................... <br />Clothes Washer....... .............. Slop Sinks......... <br />Dental Units ............................... Septic Tanks ......................... <br />DishWasher .............................. Urinals ............................... <br />Drinking Fountains .................. Water Closets.................... <br />Floor Drains ............................... Water Heater......... ............... <br />Kitchen Sinks ............................. Wash Stands........................ <br />Pantry Sinks .............................. Wash Trays. ....................... . <br />.................................................. <br />FeePaid $..... ..................... <br />................. <br />j1.............. . <br />Plans approved and permit granted as requested <br />herein. <br />it <br />......................Inspector <br />.......... <br />`.-- ..................... <br />PERMIT N° 9889 <br />