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City of Everett <br />Date � � - � � <br />Fixfures No. <br />Bath Tubs <br />Clothes Washcrs <br />Denlal Units <br />Dish Woshers <br />Crinking Fa.ntains <br />Floor Drains <br />Kiichen $inks <br />Roof Drains — Rainleeders <br />Showcr Baths <br />Service Sinks <br />Bor Sinks <br />$eptic Tanks—Drain Fields <br />Sumps <br />Urinols <br />Water Closets <br />Water Heoters <br />Wosh Basins <br />Laundry Tmys � <br />Food Dispomis <br />TOTAL FIXTURES � - <br />Pcrmit Fce $ . ' I <br />�.��{�5:.: <br />.; .`.•�i... <br />_}�!'!."g„!.:_.:,, . <br />Pl�mbing Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address ___ _� <br />Owner <br />Plumber�;�_. <br />, -� <br />Cityof Everett, by_�—:- <br />-IMPfIRTANT NOTICE— <br />All work must conform to the requirement of the City of Everett Plumbing <br />Code. It shall be the respuns�bility of the permit holder to see that the City <br />I ispection Division is netifird ior inspection before covering. <br />This Permit shall expire by iimitation and become null and void if work <br />authorized hereon is not comm�nced wi7hin 60 days from date of issue or if <br />work so authorized is abandoned after commencement for a per'rod of 1&0 days. <br />Remarks and Corrections — <br />Roughing In — Date Inspector— <br />Roughing In— <br />Inspector <br />Final — Date_ Inspedor <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit <br />__.,.,,.r__ <br />