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CITY OF EVERETT <br />APPLICATION AND PLUMBING PERMIT <br />All work <br />to be done in accordance with <br />City Ordinan:e <br />Everett, Wash 'I"L o1 / 196` <br />Location of Building <br />O3p. 4i �L <br />1030. <br />Owner of Building <br />Applicant <br />Both Tubs <br />Roo( Drain! <br />Catch Basins <br />_... Shower Bath <br />Clothes Washer <br />'Slop Sinks <br />Dental Units <br />Septic Tanks <br />Dish Washer <br />Urinals <br />Drinking Fountains <br />Water Closets <br />Floor Drains <br />Woler Heaters <br />Kitchen Sinks <br />Wosh Stands <br />Pantry Siris <br />Wash Trays <br />n <br />Fee <br />H <br />Paid $ <br />Applicant <br />By <br />Plans approved and permit granted as requested herein. <br />a'l <br />Inspector <br />By <br />PERMIT Ti:' loot-,) <br />El <br />