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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All work to be done in accordance with <br />City Ordinance <br />Everett, Wash....21.0.-q ...... 1 .... .......194 <br />Location of Building ...... 1.6ocl. 4�"'J4 <br />.................................................... <br />Owner of Building .... ...... ............ <br />Applicant . ..................... <br />Bath Tubs. ............. j - <br />Catch Basins ............ ... - <br />Clothes Washer............ <br />Dental Units... ...... . . .. ....... <br />Dish Washer.._ ...... ........... <br />Drinking Fountains. ............. ... <br />Floor Drains ....................... <br />Kitchen Sinks......... - ... <br />Pantry Sinks ........... <br />Roof Drahi/ ......................... <br />Shower Bath ......................... <br />Slop Sinks ............................ <br />Septic Tanks ........................ <br />Urinals ................................... <br />?7n <br />Water Closets ....... <br />....... <br />Water Heater.. <br />..... / ............. <br />Wash Stands... <br />.... Z--- . . <br />Wash Trays......._........._..__. <br />...................................... .... ........... .................. <br />I <br />Fee Paid S ..... — ...... <br />Applicant......................................... . ............................... <br />............. e --Vw .... .............. <br />By� ................ <br />. ........ .......... <br />Plans approved and permit granted as requested <br />herein. <br />. . .. ....... I . ....... Inspector <br />By._... . ..... ....... .................................._.----- <br />PERMIT N? q W-1 (; <br />