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Cify of Everett <br />Date- ----- <br />Fi:tures No. <br />Bath Tubs � <br />Clothes Washers <br />Dental Units <br />Dish Washers <br />Drinkin9 Fountoins <br />Floor Dmins <br />Kitchen Sinks � <br />Roof Drains—Roinleoders <br />Shower Baths <br />Scrvice Sinks <br />Bar Sinks <br />Scptic Tanks—Droin Fields <br />Sumas <br />Urinals <br />Watcr Closets � . <br />Watcr Heotcrs <br />Wa.h Basins ' <br />Loundry Trays <br />Food Disposols <br />TOTAL FIXTURES . <br />Permit Fee $ � � <br />Plurnbir�g Permit <br />6EPARTMENT OF PUBLIC WORKS <br />Address ___ - _ _ _--- -- - -- _ - -- <br />�� <br />�W:1Bf '/.'i. =.y0%:L��f(/ (�G�,�_;c�_ <br />/ �'" / <br />Plumber_ '— � . _" �' -�:: l — _ i <br />CityofEverett,by .___ — __ ____ <br />Inspection Division <br />_l,t t1�1�A_� �� ,_ <br />--IMPORTANT NOYICE-- <br />All work must r_onform 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 i=_ notifierJ for inspection be{ore rovering. <br />This Permit shall exoim by limitation and becoine null and void if work <br />authorized hereon is not rommenced within 60 days from date of issue �r if <br />work so authorized is abandoned after commencement for a period of 180 days. <br />Remarks and Corrections: <br />Roughing In—Date����_b�1lr.spactoc_��_ <br />Roughing In — Date Inspector <br />� q � ! •L1/11�-�_ . <br />Final — Date 3 ' "�9 Inspector �� �- <br />This Permit must be posted on Job before starting any Plumbing Work. <br />PcrmiP NG 665 <br />