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City of EvereM �—� <br />Date � ��i. ::��� <br />Fi:wrn No. <br />Bath Tubs � <br />Clothes Washers � <br />Dentnl Units <br />Dish Washers <br />Drinking Fountains <br />Floar Droins <br />Kitchen Sinks t <br />Roof Drains — Rainleaders <br />Shower Baths <br />Service Sinks <br />6c� Sinks <br />Septic Tanks—Drain Fields <br />Sumps <br />Urinais <br />Water Closets y <br />Water Heatero <br />Wosh Basins � <br />Loundry Trays <br />Food Dispowls <br />TOTAL FIXTURES � <br />Parmit Fee S � <br />Plumbing Permii_, <br />DEPARTMENT OF PUBLIC WOI.�S INSPECTIOtI �IVISION <br />Address i 3:;7 r'ir <br />Owner �:verett Housins Authoritv <br />Plumber :1 F• t� alnmhino inr <br />City ot Everett, by <br />—IMPORTANT NGTICE— <br />All work must conform to the requirement of the City of Everett Plumbing <br />Code. It sha�l 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 <br />� <br />Roughing In—DateS �� Inspector ��1� <br />Roughing In — Date Inspector <br />Final — Date F ��- " Inspector '�� <br />This Permit must be posted on Job before starting any Plumbing Work. <br />� <br />Permit �_� i �^ 3 <br />i <br />