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City of Everett <br />Date <br />Permit Fee <br />Baih Tuts <br />clothes Washers <br />Dental Units <br />Dish Washers <br />Drinking Fountains <br />Floor Drains <br />Kitchen Sinks <br />Roof Drains — Rainleaden <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />Septic Tanks — Drain Fields <br />Sumps <br />Urinals <br />Water closets <br />Water Hasten <br />Wash Basin, <br />Laundry Treys <br />TOTAL FIXTURES <br />Permit Fee . . . . $ <br />Plumbing Permit INSPECTION DIVISION <br />DEPARTMENT OF PUBLIC WORKS <br />Address jr: O / f i-(/ j, l/7.. <br />Owner �i <br />—IMPORTANT NOTICE — <br />All work must conform to the requirement of the City of Everett Plumbing <br />Code. It shall be the responsibility of the permit holder to see that the City <br />Inspection Division is notified for inspection before covering. <br />This Permit shall expire by limitation and become null and void if work <br />authorized hereon is not commenced within 60 days from date of issue or if <br />work so authorized is abandoned after commencement for a period of 180 days. <br />Remarks and Corrections: <br />Roughing In — Date Inspector <br />Roughing In — Date Inspector <br />Final — Date Inspector <br />This Permit must be posted on Job before starting any Plumbing Work. <br />a Permit ,i � 8 ') <br />