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City of Everett <br />Date _ '" ti ' ^-----'_ <br />Bath Tubs <br />—�----- <br />Clothes Woshers <br />_�� <br />Dental Units <br />Dish Weshers <br />�--�— <br />n.�.,kina Fountains <br />Floor Droins <br />Kitchen Sinks <br />Roof Drains — Rainlcaders <br />Shower 6oths <br />Service Sirks <br />gor iinks _ <br />Septie Tank� <br />Sumvs <br />Urinals <br />�— <br />Woter Clasets <br />Woter Heatcrs <br />�� <br />Wash Basins <br />Laundry '. �oYs <br />Food Dispomis <br />TOTAL FIXTURES <br />Parmit Fee _ <br />§ ^� <br />Plumbing Permit <br />DEPARTMENT OF PUBL�C WO....S <br />-- ; _ <br />,. .� �� � ,- � c,. , <br />Address <br />/ ._ � <br />Owner <br />PIum6 <br />City o <br />� <br />�i�'.JI Fb1�111, �)��'r���N <br />—IMPORTANT NOTICE— <br />Colde�rit hall be the espons biliry1o( he pe mit holder t seerthatthe C'ity <br />Inspection Division is notified foI'� �a� on and bec.: ne null and void if work <br />This Pcrmit shall expire by <br />authorized hereon is not commenced within 60 days from date of issue or i <br />�vork so auihorized is abandoned after cominencement for a period of 180 days. <br />Remari:s and Corrections:-- <br />Roughing In -- Date���3 �3 Inspector'� '� <br />Inspector � <br />Roughing In — Date_ p \ � <br />��^� '73 Ins ecror <br />Final — �a«==`—' L— P Work. <br />This Permit must be pcsted on Job before starting any Piumbing <br />� Pcrmit ��' �% �� <br />