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City of Everett <br />Date ' ' — <br />Fiatu.e� No. <br />Bath Tubs 1, <br />Clothes Woshers i <br />Dentol Units I <br />Dish Wcshers <br />Drinking Foimtai�s <br />Floor Drains <br />Kitchen $inks �i <br />Roof Drains — Roinlea'^�, <br />Showcr Baths <br />Sen�ce Sinks <br />Bar Sinks <br />Sep:ic Tanks—Drain Fields <br />SumpS <br />Urinals <br />Wafer Closets � <br />Woter Hroters <br />Wcsh Bosinz � <br />Laun�ry Trays <br />Food Discomis <br />TOTAL FiXTURES � <br />Permi! Fee S �� <br />Plumbing Permit � _ <br />DEPARTMENT OF PUBLIC WOk�.S INSPECTIGW Dll'IoIDh <br />Address <br />Owner ".'!'i' I?.�t;:J1iJC ,1U:':'!1.• .. <br />Plumber '� '< 6 I'"I;�•T,ii1G <br />Cityof Everett, by <br />—IMPORTA�NT NOTICE— <br />All work must conform to the requirement of the City of Everatt Plumbing <br />Code. It shall be the responsibility of the permit holder to see ihat the City <br />Inspection Division is notified forinspection 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 auihorized is abandoned after commencement for a period of 180 days. <br />Remarks and Corrections_— <br />Roughing In — Date �'?L�Inspector �' (� . <br />F',oughing In — Date — Inspector <br />Final — Date ''z�'7 �spector �� <br />This Permit must be posted on Job before starting any Plumbing Work. <br />.Yi <br />Permit ' � ` r' ? <br />.� <br />