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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />Afl work ro be done in accordance wilh <br />City Ordlnance <br />Everetl, Waeh...._``�-s.,,�.. ....�.J-..19.�' <br />Localion o( Buildin - ��� � / <br />g_..:�n_�........_f ........ ..�.t.......... <br />Owner et Building _._... ...' �•.��– •:I � • + ; � <br />...................... ............................ <br />npplicanl ........._�...� . , . � �.,. „ <br />.... ......:....._... _.... . ... <br />. . .................. . <br />Bath Tube_._ _ _ _ � . Aoof Dmiri � <br />_ ........................ _ <br />Catch DasLis _......_..... ...... ._ Shower Bath.__._.......... <br />ClothesWash=r....... _ S1opSinke_._........_ .............. <br />Dental Unils_._ . _. . . . _.._ Septic Tanka__ . ..%� <br />Dieh Washer._... __..._..... . __ Urinale...__ . ........._ ........_... <br />Drin4:ing Fountains..._. __ Water Cloeets __ __......._.. . <br />Floor Draine........._......... . ___. Wator Heater.._ _ ............. <br />Kitchen Sinke _....._... .......___ Wash Slande ....... <br />Panlry Sinl:s__..._ ..............___ Wash Traye .. ..... _.............. <br />_ . _ ... ................._........... ........... ..._ ........__.............. <br />_.. __ .............. _......_.._...........___._ ......... __.......... <br />— �"n <br />Fee Paid S . . `� �::'.......-...... <br />Appli:ant . _'. .__ ..... <br />_ _. .... . . . . _ _............ <br />By .._ . ......... . <br />................_........:.............................. ... <br />Plans approved and t�erm�1 granted ae tequested <br />herein. � <br />/ <br />— ' / ' `: %r•<.-.., <br />_......... r..L.r.... � .' _ _....'... _.. , . _ _. ......Inepeclor <br />,( � % <br />�}• _._�.l ��(�__........_...._............_......_ <br />.�....� <br />PERMIT N� g�i g <br />