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City of Everett <br />Date _ <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 Firids <br />Sumps <br />Urinals <br />Water Closets <br />- <br />Water Heaters <br />Wash Basins <br />Lounory Trays <br />Food Disposals <br />TOTAL FIXTURES <br />Permit Fee $ ' <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS <br />inspection Division <br />9-� <br />Address <br />Owner_- • <br />Plumber.. <br />City of of Everett, by <br />—IMPORTANT NOTICE — <br />v <br />All work must conform to the requirement of the City of Everett Plumbing <br />Code. It shall be the responsibility w' 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 Corrections:_ <br />Roughing Ir. —Date_%/j1/4E Inspector :`.-�'� <br />Roughing In —Date -�04 y Inspector Ao—,'4 — Pt,',tty^^^'�'— <br />Final — Date10 Z9 L y Inspector L VA u"'^'^'Y <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit N? 290 <br />