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3219 21ST ST 2016-01-01 MF Import
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3219 21ST ST 2016-01-01 MF Import
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Last modified
4/21/2017 12:14:45 PM
Creation date
4/2/2017 4:47:59 PM
Metadata
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Template:
Address Document
Street Name
21ST ST
Street Number
3219
Imported From Microfiche
Yes
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CITY OF EVFkF.TT <br />APPLIC.4TION AND PLUMBING PERMIT <br />All work to be done in aaordance with <br />Ci1y Ordinance <br />Everelf, �Vash .../. !i�`� � �. � 19� � <br />Localion o( Building �2 `��./�.'� �./^�' �� � /r <br />Owner of Buildiny (N�� ''^'"-��""`�'�' "���"'����" "�`"�� �{ �� <br />� <br />Applicani. . .�'Q'`.�'�Q��d'*" �`�� 4 <br />G <br />Bath Tubs.._.... _ . __......__._.. Roof Drain . . .. .. _ .... <br />Cakh Besins _.__ ........................ Shower Bath . __....__...._.. <br />Clothes Wasner ....___... ..._ _.. Slop Sinks _.. .._ ................ .. <br />Denlal Units ...... ._ _. . _...._._.. .. Sep�ic Tanks _. ...___... . <br />Dish Washer...._.__............_......... Urinals . . _Z. ..._ . <br />Drinking Pountains .__ ................ Waler Closels � ... <br />Floor Drains _ . ._ _. . _.......__.. Waler Hcatcrs .�. � <br />!Cikhen Sinks � .._......._. Wash Slands _�._..__ . <br />_ ................ . <br />Pantry Sinks . _ � ..... ........._. Wash Trays ._ . . _ ... <br />. .. _. .... _ _ .. ._ _ .__..... <br />_.. .. _.._... <br />._. . ..... .. . . <br />. .. .. . _ . . ..... OA <br />Fee Paid $ // - ..... <br />Applicant � . . ... � <br />ey. � �.,-�,� -�'` 3 � 7 i �_ <br />P!am approved and permit granled as requested herein. <br />. . �.0./�JJLv-f . . InspecMr <br />, y� � <br />BY _ .._._ (��/!/1. .._ . .__... . ._...._.... <br />,.,��.�oa.i m.n- rceH auca <br />PERMIT �i`: 10286 <br />
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