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City of Everett <br />Date z Zze �''� 0 <br />Fixtures <br />No. <br />Bath Tubs <br />Clothes Washers <br />I <br />Dental Units <br />If <br />Dish Washs•s <br />Drinking Fwntoins <br />Floor Drains <br />Kitchen sinks <br />Rcof Drains — Rainleoders <br />Shower Boths <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 FIXTlJRES <br />Permit Fee $ To <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WO., S <br />Owner. <br />INSPECTION DIVISION <br />Plumber Cn- ►Y G✓- <br />City of Everett. hy� <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 end 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 fer a period of 180 days. <br />Remarks and <br />Roughing In — Date *e a &7 Inspector <br />Roughing In —Date— Inspector <br />Final — Date �7J 77-- InspectorILW <br />This Permit must be posted on Job before starting any Plumbing Work. <br />In <br />Permit ` 4 7 <br />