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I <br />City of Everett <br />Date- " h <br />Fixtures <br />No. <br />Bath Tubs <br />Clothes Washers <br />Dental Units <br />Dish Washers ' <br />Drinking Fountains . <br />Floor Drains <br />Kitchen Sinks <br />Roof Drains — Roinleaders <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />Septic Tonks—Drain Fields <br />Sumps <br />Urinals <br />Water Closets <br />Water Heaters <br />Wash Basins <br />,• <br />Laundry Trays <br />Focd Disposals <br />TOTAL FIXTURES <br />i <br />Permit Fee . $ <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />7 <br />Address - - <br />Owner��s-- <br />.Plumber �' --- — <br />City of Everett, by --- <br />IMPORTANT. NOTICE— <br />All work must conform to tha requitement 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 for a period of 180 days. <br />Remarks and <br />Roughing In — Date — 7 - G Y Inspector r�.L" <br />Roughing In — <br />Inspector <br />Final — Date_-- Inspector j <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Pc-:mit Nt? <br />F i Y'S 1111r_ <br />