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City of Everett <br />Date__ <br />Fixfures No. I <br />Bath Tubs <br />Clothes Washcrs <br />Denml Units <br />Dish Woshers <br />Drinkin9 Fauntains <br />Floor Drains <br />Kitehen Sinks <br />Roof Drains — Roinleoders <br />Shower Baths <br />Scrvice Sinks <br />Bar Sinks <br />Septic Tanks—Drain Fields <br />Sumps <br />Urinals <br />Water Closcts .. <br />Water Hcaters <br />Wash Basins � <br />Laundry Trays <br />FooC Disposols <br />TOTAL FIXTURES � <br />Pcrmit Fee $ � <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Oivision <br />Address- ___, _ — _ —�=1�" • - _ <br />OWllef_ __ _ '____ _...-,('�fi'L"fv' .. L.�>:., <br />�� l � <br />� �i <br />Plumber —_ _ __ <br />City of Everett, by_,_— _-_ __ _ _ _ _ <br />r ,a <br />_7/j�,f�. � _ <br />—IMPGRTANT NOTICE— <br />All work must conform to the requirement of the City of Everett Plumbing <br />Code. It shall be the responsibility cf fha permit holder to sce that the City <br />Inspection Division is notified for inspection before covering. <br />This Permit shall expirc by limitation and become null and void if work <br />author�zed hereon is not commenced within 60 days from date of issue or if <br />work so authorized is abandoned after ccmmencement for a period of 180 days. <br />Remarks and Corrections: <br />Roughing In — Date 3�� °" G`/_ Inspector_� • 1�'�-�•^-�--� _ <br />Roughing In — Date _ Inspector _— _ <br />Final — Date �^ 9-�q Inspecfor �A�^'-� V.�-�'.•. <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit N� 5�p <br />