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City of Everett <br />Date_ <br />Fi:Wrc�_ � Na. <br />Balh Tubs <br />Cbthes Wash_rs _ I <br />Dentol Unifs I <br />Dish Washers <br />Drinking Fcuntains <br />floor Droins <br />Kiichen Sinks <br />I.00f Dmins—Roinleaders <br />sr,�w�� eo�n: <br />Servicc Sinks <br />fiar Sinks <br />Septie Tonks—Droin Fields <br />Surnps <br />Urincls <br />Watcr Closets <br />Wctcr Heafcrs <br />Wash 7osins <br />Laundry Troys <br />Food Di �powls <br />TOTAL FIXTURES <br />Permif Fco $ <br />W�um&►ing Pern�i� � <br />DEPARTMENT 1F Pl�oi.IC WORKS Inspection Dirision � <br />Address <br />Owner- - — — — � �. - <br />--- __ / , -- — -- <br />Flumbor----- -- — --- -- — ---- <br />City of Fverett, by __ ._ . ._ ._ .____ ____ <br />—IMPORTANT NOTICE— <br />All work 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 erpire 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 />aiork so authorized is abandened after commencement fora period of 180 deys. <br />Remarks and Corrections:_____ _ __ _ <br />Roughing In — [�ate_ Inspector_ <br />Roughing In — Date Inspector _ <br />Final — Date Inspector <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Pcrmit <br />