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City of Ercrett <br />Date — <br />Fi>tures No. <br />Bath Tubs <br />Clothcs Washcrs <br />Dentol Unils <br />Dish Washers <br />Drinking Fountuins <br />Floor Droins <br />Kitchen Sinks � <br />Roaf Droins — Roinleaders <br />Sl�awcr Ba�hs <br />Scrvicc Sinks <br />�or Sinks <br />Septic Tanks—Droin Fields <br />Sumps <br />Urinals <br />Wotcr Closets � <br />Woter Heotcrs <br />Wosh Basins <br />Laundry Trays / <br />Food Dispowls <br />TOTnL FIXTURES <br />Pcrmil Fce $ <br />,: <br />'� <br />Plumbin� Permit �% <br />DEPARTMENT OF PUBLIC WOkKS ,., ,_, '!'.'IS'i"� <br />Address <br />Owner <br />PIumE <br />.� ' ` " r _' / . � �. _. <br />City of Everett, by " <br />—IMPORTANT NOTICE— <br />All work must contorm to the reGuirement 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 auihurized is abandoned after commencement for a period of 180 days. <br />Remarks and <br />i � <br />Roughing In—Dat��L?-_ Inspector_-=�-� � <br />Roughing In — Date — I <br />Final — Date Inspector <br />This Permit must I�e posted on Job before starting any Plumbing Work. <br />�J <br />Pcimit <br />