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City of Everett <br />Date u; <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 — Rainleaders <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />Septic Tanks—Drcin 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 />Piul:gibing Permit. <br />DEPARTMENT OF PUBLIC W0 5 <br />Address <br />INSPECTION WISION <br />Plumber v /';:25' _ _ Q <br />City of Everett, by z • Kir. y <br />-IMPORTANT NOTICE — <br />All work must conform to the requirement of t5e Cary 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 1f <br />work so authorized is abandoned after commencement for a period of 180 days. <br />Remarks and <br />Roughing In—DaTe—?"��7�lnspc_tor <br />Roughing In — Date Inspector <br />Final — Dated Y Inspectors_,(. <br />This Permit must b po eed on Job before starting any Plumbing `'work. <br />[J <br />Permit <br />