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City of Ererett <br />Date <br />Fixfures No. <br />Both Tubs <br />Clothcs Washers <br />Dentol Unih � I <br />Dish Woshers <br />Drinking Fountoins <br />Floor Drains ' <br />Kitchen Sinks / <br />Roof Drains — Rainleaders <br />Shower Baths <br />Service Sinks <br />Oar Sinks <br />Septie Tonks—Druin Fields � <br />Sumps <br />:Jrinals � <br />Watcr Closets � � <br />Woter Heoters / <br />Wash Oasins <br />Laundry Trays <br />Food Dispowls <br />1 <br />TOTl�L FIXTURES <br />Permil Fee S � <br />Plumbing Permit ��`, <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address_ �-� - f �_� _ � -- '�: <br />Owr er _ _ ', <br />y , " . 1 . � <br />Plumber Yr .r. ' `. :- ._��i�' <br />�� <br />Cityof Everett, by_._ — t--� <br />'_T_ — <br />/ 7 ' <br />L� r 'd.i: ..� � � <br />—IMPORTANT NOTICE— <br />All work must conform to the requirement of the Ciry of Everett Plumbing <br />Code. It shall be the responsibility of the permit holder to see that the City <br />Inspection Division is notitied for inspedion before covering. <br />This Permit shall expire by limitation ard become null and void if work <br />authorized hereon is rot commenced within 60 days from date of issue or if <br />work so authorized is .b�ndoned after commencement for a period of 180 days. <br />Remarks and Corrections-- — <br />Roughing In — Date�' � �' �O`/ Inspector_�—V �'�� �^�1= <br />Roughing In—Date �' 7" � InspectorJ�—y— ��`� <br />Final — Date — Inspector <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Pcrmit N� 964 <br />