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City of Everett <br />Date— <br />Fixturn <br />No. <br />Bath Tubs <br />Clothes Washers <br />Dental Units <br />Dish Washers <br />Drinking Fountains <br />Floor Drains <br />Kitchen Sinks <br />Roof Drains — Rainleaders <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />Septic Tanks — Drain Fields <br />Sumps <br />U 'nals <br />/ <br />Water Closets <br /><� <br />Water Heaters <br />Wash Basins <br />Laundry Trays <br />Food Disposals <br />TOTAL FIXTURES <br />permit F"e 1 $ <br />Plumbing Permit <br />DEPARTMENT OF PI• .LIC WORKS <br />Address - <br />Owner. <br />Plumber <br />City of Everett, by <br />Inspection Division <br />IMPORTANT NOTICE — <br />All work must conform 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 is notified for inspection before 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 for a period of 180 days. <br />Remarks and Corrections: <br />Roughing In — Date t— 1 _ 6 1 Inspector . O "" <br />Roughing In — Date Inspector <br />Final — Date Inspector — <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit W <br />632 l <br />