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City of Everett <br />Date_ - -- -- <br />FliWres___ No. <br />Bath Tubs <br />Clothes Washers <br />Dental Units <br />Dish Washers <br />Drinking Fountains <br />Floor Drains <br />Kitchen Sinks <br />Roof Drains -- Ralnleaders <br />Shower Both& <br />Service Sinks <br />Bar Sinks <br />Septic Tanks —Drain Fields <br />Sumps <br />Urinals <br />Waher Closets 1 <br />Water Heaters <br />Wash Basins I <br />Lmsndry Trays <br />Fcrd Disposals <br />TOTAL FIXTURES <br />Permit Fee $ <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address _�5,11, <br />Owner. - <br />Plumber <br />City of Everett, by .1.YJi,_. a -_ - _- __ _. <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 -11-b f -_ Inspector lG M+46w+ <br />Roughing In —Date-____ __ Inspector__ <br />Final — Date_ — --- _-- Inspector. <br />This Permit must be posted on Job before starting any Plumbing Work. <br />