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��� <br />CITY OF EVERETT <br />APPLlCATION AND PLUMBIMG PERMIT <br />All work to be done in accordance with <br />a � � •� City Ordinance <br />?�� �� <br />�� r.�.. � � . <br />' Everett, Wash.. ..«...�.:} ...... �..1!.......19. G..f.. <br />Location of Building.. � �-D -4---��'c�` -' <br />_ ..............___...................._.�:,.............. <br />'° � a <br />Owner of Buildinq... �� �nt yiti ( q�u �„ <br />...f ......--...:..�. <br />... <br />Applican� ............................. � � � � „ <br />_ _. .. _... _ .. ........... _............ _....... <br />Bath Tubs ................................... Roof Drain.......... __.............. <br />Catch Basins ............................ Shower Bath._....................... <br />Clothes Washer .................._.... Slop Sinks......................._.... <br />DentalUnits.........__..........__.... SepticTanks...- .................... <br />Dish Washer....__..._ ............... Urinals.......--..._......... <br />_ _.. . <br />Drin]cinq Fountains_..._._. ... . Water Closets ......_._ . .. ... <br />F1oorDrains....__.._......__._..._ WaterHeater ........................ <br />Kitchen Sinks .........................._ \�S'ash Stands __. _ <br />Pantry Sinks._ ...... ....... -........ Wash Trays..........._ _. .... .. <br />_......_._.. _ ................................. j--....L.�.. - ......................_ . <br />I��, _.. . <br />_ . _.___..... ..... � <br />_. .... ... ................... _. _. .. <br />Fee Paid $...........i. l_ ('�.. <br />Applicant _.._ . _ _..._..._.._-..-� - ------. <br />. _..........._....._........--..... <br />By.. ....._... __..........._.._.._ ................_...._........................... <br />Plans approved and permit granted as requested <br />herein. <br />_ ..... ............................ ._..._.._._._. _.............inspector <br />By.. _ ... ..._ ... . <br />_.. ._ ._...._ .. <br />__ __.._........._......... <br />„�;� ��� <br />PERI�lT N� 84i� <br />� <br />