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City of Everett <br />Date <br />Fixtures <br />No. <br />Bath Tubs <br />1. <br />Clothes Washers <br />7. <br />Dental Units <br />Dish Washers <br />Drinking Fountains <br />Floor Drains <br />Kitchen Sinks <br />1 <br />Roof Drains — Rainleaders <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />Septic Tanks —Drain Fields <br />Sumps <br />Urinals <br />Water Closets <br />Water Heaters <br />Wash Basins <br />Laundry Trays <br />Food Disposals <br />TOTAL FIXTURES <br />Permit Fee $ <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WLKS <br />Address ' It14 arch <br />Owner- _ie: rr Housing A th r't3 <br />Number A c n _pi turht ng <br />City cf Everett, by— <br />INSPECTION DIVISION <br />—IMPORTANT NOT110E— <br />All work must conform to the requirement of the City of Everett Plumbing <br />Code it sha.i be the responsibility of the permit holder to see that the City <br />Inspection Di�isi�n 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 />Remar✓a end <br />S_ Zy <br />Rotghing In —Date Inspector'G' <br />Roughing In — Date— Inspector <br />Final —Date ;2"? Inspector <br />This Permit must be posted on Job before starting any Plumbing Work. <br />:V <br />Permit � C5 (� <br />u <br />