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City oF EverePt <br />Date_ __ _ <br />Bath Tubs <br />Clothes Woshcrs <br />Dental Units <br />Dish Woshers <br />Drinking Fountains <br />Floor Drains <br />Kiichen Sinks <br />Roof Dmins — Roinleaders <br />Showcr 6aths <br />Service Sinks _— <br />Oar Sinks <br />$eptic Tonks—Droin Fields <br />Sumps <br />Urinals <br />Wotcr Closets <br />Woter Heaters <br />Wash Bosins <br />Loundry Troys <br />Food Disposals <br />TOTAL FIXTURES <br />Pcrmit Fec . . . $ <br />Plumbing Perrnit <br />DEPARTMENT OF PUBLIC WORKS <br />Inspec�ion Division <br />� <br />Address -- -_ - ------' —. . <br />. . /,. . - .-- _---.. _..___ <br />Owner - - _—� =�—s2 , ` i� Gu,1=�.'i�«_r�.%i/ <br />Plumber_.—_ _ - � l.. �'.�: -„ • :�. — <br />City of Everett, by ___ .__ _ _ _ <br />— IMPORTANT NQTICE— <br />All work m�•-t conform to the requirement of The City of Everett Plumbing <br />Code. It shall be the msponsibility 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 />P.emarks and Corrections:_______ <br />Roughing In — Date - �- 7 o Inspector_ i).�! �q . <br />Roughing In — Date _ Insoector—_ <br />Final — Date Inspector <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Pcrmit <br />� <br />