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City of Everett <br />Date. <br />Fixtures No. <br />Both Tubs <br />Clothes Washers <br />Dental Units <br />Dish Washers <br />Drinking Fountains <br />Floor Drains <br />Kitchen Sinks <br />Roof Drains — Ralnleaden <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />Septic Tanks — Drain Fields <br />Sumps <br />Urinals <br />Water Closets <br />Water Hectare <br />Wash Basins <br />Laundry Trays <br />Food Disposals <br />TOTAL FIXTURES <br />Permit Fee $ <br />Plumbing Permit v, <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address.___ 1___ Z) <br />Owner— <br />Plumber — <br />City of Everett, by k. <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 S�t?��� Inspector.72��— <br />Roughing In — Date - Inspector -- <br />Final — Date) s9/5y inspector��� <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit <br />