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City of Everett <br />Date r <%-� ?-1r <br />Fiztures No. <br />Prrmit Fce <br />Bath Tu6s <br />Clothes Washers <br />Dental Units <br />Dish Wushcr5 <br />Drinking Fauntains � <br />Ploor Drains <br />I:itcncr. sinl;s <br />Roof Drains -- Rainleaders <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />Sep;ic Tanks — Drain Ficlds <br />Sumps <br />Urinals <br />Water Closets � <br />Wa[er Heaters - <br />Wash Basins � <br />Laundry Trays <br />Food Disposals <br />TGTAL FIXTURES - <br />Pcrmit Fee . . . . 'y' ,r �10� <br />Plumbing Permit IiJSPECTION OIVISION <br />DEPARTMENT OF PUBLIC WORKS <br />m <br />nuaress - * �.; ' . ... <br />_ / 1 % �:; .. <br />Owner � <br />,,,.. �:.. — <br />Plumber' �? �� - r� r i� �7 � `'-� �i i — ' ' ; /��� <br />_..._,. ., � ._ _� . . , <br />r _ —� _- <br />City of Everetl, 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 />Inspection Division is notified for inspection before covering. <br />This Permit shall expire by limitafion and become null and void if work <br />authorized hereon is not commenced within 60 days from date of issue or if <br />�vork so authorized is abandoned after comi��encement for a period of 180 days. <br />Remarks and Corrections: <br />Roughing In — Date Inspector <br />Roughing In — Date Inspector <br />Final — Date <br />3 <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Pcrmit 3 1 7 2 <br />