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City of Everett <br />Date <br />Fixtures <br />No. <br />Bath Tubs <br />Ciothes Washers <br />I <br />Denial Units <br />Dish Washers <br />Drinking Fountains <br />Floor Drains <br />Kitchen Sinks <br />Roof Drains — Floinleaders <br />°tower Baths <br />S..,vice sinks <br />Bar Sinks <br />Septic Tanks — Drain Fields <br />Sumps <br />Urinals <br />Water Closets <br />' <br />Water Heaters <br />I <br />`Nash Basins <br />j <br />Laundry Trays <br />Food Disposals <br />TOTAL FIXTURES <br />Permit Fee - <br />Plumbing Permit. <br />DEPARTMENT OF PUBLIC WOL.kS <br />Address — _z <br />Owner e <br />Plumber <br />City of Everett, <br />C <br />INSPECTION DIVISION <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 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 Cc <br />Roughing In — Date— Inspector — <br />Roughing In — Date— .— Inspector—__ -- <br />Final — Date — Inspector — <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit <br />