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City of Everett <br />Date <br />Fixiures No. <br />Pcrmit FeC ' <br />Bmh Tubs � <br />Clothes Washers <br />Den�ai Units <br />Dnh Washcrs <br />Drmking Fountains <br />Floor Drains <br />Kitchen Sinks / <br />Roof Drains — Rainlcaders <br />Showcr Baths <br />5�������, s��,�.s <br />e�� s��,k: <br />Srptic Tanks — Drain Ficlds <br />Sumps <br />Urinals <br />WdIC! CIOSC�S <br />Wa�er Heaters <br />lNash 6asins <br />Launtlry Trays <br />Pond Disposals <br />TOTAL FIXTUFBS <br />Prim�� frr . . . . S <br />iPlurnbing Permit '''�o�� �'�`'"'''' <br />DEPARTMENT OF PUBLIC WORKS <br />Address --_ � �' ,'i,r "�,L� / �il-., <br />�r / <br />Owner � . : /�/ /'� ' /' — <br />Plumber � � �� �. "� �� <br />City of Everett, <br />—IMPORTAMT NOTICE— <br />All work must conform to the requirement of the City of Everett Plumbing <br />Code. It shall be the responsibiliry of the permit holder to see that ihe City <br />Inspect�on Division is notified for insp�ction before coveriny. <br />This Permit shall expire by limitation and become nu!I and void if work <br />authorized hereon is not commenced within 60 days from date of issue or if <br />work so autnerized is abandoned after commencement for a period of 180 days. <br />Remarks and Co <br />Roughing In — Date Inspector <br />Roughing In — Date Inspector <br />Final -- Date Inspector <br />This Permit must be posted on 1ob before starting any Plumbing Work. <br />� , <br />� PCrmit ' .. <br />