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City of Ere�ett <br />Date_ __ <br />Fi:fure� No. <br />Both Tubs <br />Clothes Wazhcrs <br />Dental Units <br />Dish Woshers <br />Drinking Fountoins <br />Floor Drnins <br />Kitchen Sinks ( <br />Roof Drains — Roinleodcrs <br />Showcr 8oths <br />Servicc Sinks <br />Bar Sinks � <br />SeD��c Tanks—Drain Fields <br />$umps <br />Urinals <br />Water Closch <br />Water Heotcrs � <br />Wash Basins ._'.. <br />Laundry Troys <br />Food Dispowls <br />TOTAL FIXTURE$ ' <br />Pormit Fee S <br />Plumbing Permit- � <br />DEPARTMENT OF PUBLIC WOI.�(5 li'•�.[�CCTI�N OIUI:�L'A <br />Address _ � " - <br />Owncr •.�.'; .t;% .-��t�.Jft�ti� <br />i <br />. . ,, / �� , .'�� � <br />Plumber__�"' ° <br />City of Everett, by ' � <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 />Inspedion Division is notified for inspection before covering. <br />This Pcrmit 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_' �'�/<�73 Inspector_ � 1_� __ <br />Roughing In—Date _____ Inspector_—__ <br />Final —Date_— _—____ Inspector__._ <br />This Permit must be posted on Job before starting any Plumbing Work. <br />� <br />Pcrmit <br />