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City of Everett <br />Date <br />Fixtures <br />No. <br />Bath Tubs <br />/ <br />Clothes Washers <br />Dental Units <br />Dish Washers <br />Drinking Fountains <br />Floor Drains <br />Kitchen Sinks <br />/ <br />Roof Drains — Rainleaders <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 />_�Z <br />Laundry Trays <br />Food Disposals <br />TOTAL FIXTURFS <br />g <br />Permit Fee $ <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address' -- <br />Owner <br />24,_ <br />Plumber r-� <br />City of Everett, by �• �� - <br />—IMPORTANT NOTICE — <br />All work must conform to. the requirement of the City of. Everett Plumbing <br />Cude. It shall be the responsibility of the permit holder to see that the City <br />Inspection Division is notified for inspection before covering. <br />rhis 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 for a period of 180 d.ys. <br />Remarks and Corrections:__ <br />Roughing In — Dite —/ 0-61 Inspector&A� i <br />Roughing In — Date Inspector <br />Final — Date3- /0' 69 Inspector <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit N° 555 <br />