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CitY. oF Ererett <br />Date— <br />Firlure� No. <br />Both Tubs _ <br />Clolhes Washers ' <br />Dental Units <br />Dish Washcrs � <br />Drinking Fountains <br />Floor Drains <br />Kitthen $inks / <br />Roof Drains — Roinlcaders <br />$hower Bathz <br />5ervicc sinks <br />Bar Sinks <br />Septic Tanks—Drain Ficlds <br />Sumps <br />Urinais <br />Water Closets <br />Water Hcoters <br />Wosh Basins <br />Laundry Troys � <br />Foad Dispamis <br />TOTAL FIXTURES <br />Pennit Feo S � � <br />Plumbing Permit <br />DEPARTMENT Of PUBLIC WORKS Inspection Division <br />i.. <br />Address _- ') �• �f;r-�(;���� d� :..C�_, <br />Owner. --'`. L� ��-�i <br />_, � � . <br />Plumber_� �J:S�� ;.����[ .G{_7:•-=�--G--r"�- <br />� %� —�,, , _ — ---- <br />Ciry of Everett, by .! �— _— ____ _-. - - <br />-IMPORTANT NOTICE- <br />All work must conFurm 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 notitied for inspection before covering. <br />This Permit shall expire by limitation and become null and void if work <br />authorized hereon is not cominenced 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�-��L'�'3 Inspector \l"`�"""--� <br />Rougliing In - Date I <br />final - Date I <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permif N� 421 <br />