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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All �vcrk lo be done in accordance with <br />City Ordinance <br />Everet6 Wash.....111�.... �L..._19. �� <br />Location of Buildin / -3�F �...- � .��. "`�'� '� G. <br />� r <br />g.................. ........_r....._...... -- ,. <br />Owner ot Building.__V...'� ��-::.....�.:.w`..:`.C�'�_.. <br />Y <br />AppiicanL.__....._��<��"....:'�i-a-�.�+-�:i:. j <br />Bath Tubs ................................... Roof Drain............................. <br />Catch IIasins .............................. Shower Bath............._ ......... <br />Clothes Washer ........................ Slop Sinks............................. <br />Dental Units .............._.. .... ....... Sepiic Tanks.....%�._......... .. <br />Dish Washer .............................. Urinals.................................. <br />Dzinking Fountains....--._-........ Water Closete........._........__ <br />Floor Drains........_........___...... Water Heater ........................ <br />Kitchen Sinlcs ........:.......:.._....... Wash Stands..........._-_....... <br />Pantry Sinks .............................. 4�'csh Trays.. ................... <br />............................................................................. <br />� 6- n <br />Fee Paid 5.....'Y._...'......... <br />Appl.icant....F���YYI....:..:, � .................. .. _.... _.............. <br />Sy_...........-- ....... .................:........: _....................................... <br />Plans approved and permit granted -as requested <br />herein. _�'+-� � <br />............._ f .v_�� -.%...._.__......._.Inspeclor <br />,:? . <br />By ................... .: � ':.. ��.'. . <br />.. . _ _ ....:..................................... <br />.,,'�,. �._ <br />PERMIT No g�,2 <br />� <br />