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City of Everett <br />Date_.S " � v'-�— <br />Fixlures <br />Bath Tubs <br />Clothes Washcr � <br />Dental Units I <br />Dish Washers <br />Drinking Fountoir. <br />9oor Drains <br />Kitchen Sinks <br />Roof Drains — Roinleaders <br />Shcwcr Baths <br />Service Si�iks <br />Bar Sinks <br />Septie Tanks—Droin Fields <br />Sumps <br />Urinals <br />Watcr Closets <br />Water Heatcrs <br />Wash Basins <br />Laundry Troys <br />Food. Disposals <br />TOTAL FIXTURES <br />Pcrmit Fcc . . . $ � <br />PE�.ombin� Permit <br />CEPARTMENT OF PUBLIC WORK`. Inspection Divi;ion <br />Address , - - — -- - --- - -- -`_ ___ <br />Owner_ _ _ � ,� �r-E--- � <br />C,% ��-^'_. <br />Plumber ----- -- - !� � .�. �f /:,-� y iG•-f� _ <br />City of Evereft, by _- - - - _ . - - - - — ----- - <br />—IMPORTANT NOTICE-- <br />All worl: must conform to the requirement of the Citv of Everett Plumbing <br />Code. It shall be the responsibiliry of the permit holdcr to see that the City <br />Inspecricn Division is notified for inspection Lefore 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 />ficughing In—Date s�'��—�09 Inspector__`+�Q�"`'�� <br />Roughing In — Date Inspector <br />Final — Date--_ Inspector_ -- <br />i his Pcrmit must be posted on Job before starting any Plumb�ng Work. <br />Penr:it NG 901 <br />