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City of Everett <br />Date <br />Fixtures <br />No. <br />Permit. Fee <br />Bath Tubs <br />Clothes Washers <br />Dental Units <br />Dish Washers <br />Drinking Fountains <br />t <br />Floor Drains <br />j <br />K.tchen Sinks <br />Roof Drains — Rainleaders <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />Septic Tanks — Drain Fields <br />Sumps <br />Urinals - <br />Water closets <br />Water Heaters <br />Wash Basins <br />Laundry Trays <br />Food Disposals <br />TOTAL FIXTURES <br />Permit Fee . . . . $ <br />Plumbing Permit CTIDN DIVISIGN <br />DEPARTMENT OF PUBLIC WORKS <br />Plumber �� ���� (�2'a <br />City of Everett, by_ <br />—IMPORTANT NOTICE — <br />All wort. 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 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 fora period of 180 days. <br />Remarks and <br />Roughing In — Date a 2y Inspector �Qp <br />Roughing In —Date— Inspector <br />Final — <br />Inspecto <br />This Permit must be posted on Job before starting any Plumbing Work. <br />7 <br />3 Permit J t <br />