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City of Everett <br />Date ' I �1 - `,'• i <br />Fix�ures No. <br />Permit Fee -, �;(� <br />Bath Tubs <br />Clalhes Washers <br />Dental Units <br />Dhh Washcrs <br />Orinking Founiains <br />Floor Orains <br />Kitchen S�nks <br />Roof Drains — Rainleadcrs <br />Shower Baths <br />Servicc Sinks <br />Bar Smks <br />Septic Tanks — Drain Fields <br />Sumps <br />Urinals <br />Watzr Closcu <br />Water Hcutcrs <br />Wash Basins <br />Launtlry Trays <br />Food Disposals <br />TOTAL FIXTURES . <br />Permit Fee . . . . � <br />� <br />Plumbing Perrnit <br />DEPARTMENT OF PUBLIC WORKS <br />ir�s�EcrioN oivis�or� <br />Address � `�' ' - � + 1 � � � <br />,� � 1 � <br />Owner ' 1 1, l r,�� c+- <br />Plumber � � - � .1�� 1 <br />• I <br />Cify of Everett, by � <br />—IMPORTANT NOTICE— <br />All work must ccnform to the requirement of the City of Everett Plumbing <br />Code. It shall be the re�ponsibility of the permit holder to see that the City <br />Inspection Division is notified for inspection before covering. <br />This Pennit shall expire by limitaticn 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 <br />Roughing In—L�ate <br />Final — Date Inspector <br />This Permit must be posted on Job before starting any Plumbing Work. <br />r� Permit 3 "19 3 <br />� <br />