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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 ....... <br />Location of Bulldlna ..... <br />Owner of Bulldlno.. - 17) (y <br />Applicant. .................... <br />(,* . . ...... .... <br />.................. <br />BathTubs .............. / ...... ........... <br />Val .......... <br />I ............ <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 />i ............. <br />Floor Drains .............................. <br />Water 1jeater .... .. <br />/ ............ <br />Kitchen Sinks......... .............. <br />Wash Stands....... <br />/ .............. <br />Pantry Sinks ............................. <br />............................................... _.........................................I............... <br />Wash Trays......................._. <br />................................................. ­­ <br />. ................ . <br />................. <br />Fee Paid $ . . <br />................... <br />Applicant <br />By....................... <br />Plans approved and permit granted as requested <br />herein. <br />Inspector <br />y <br />PERMIT N ° 9-1 4!j <br />