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City of Erereft <br />Date �' <br />Fiitures No. <br />Bath Tubs <br />Clnthes Woshcrs <br />Denml Units <br />Dish Washers <br />Drinking Fountoins <br />Floor Drains <br />Kitthen Sinks <br />Roof Drains — Rainleadcrs <br />Showcr Boths <br />Service Sinks <br />Bar Sinks <br />$eptit Tanks — Drain Fields <br />Sumps <br />Urinols i <br />Wotcr ClosMs j <br />Woter Heaters <br />Wosh Basins j <br />Laundry Trays <br />Food Dispowls <br />TOTAL FIXTURES — <br />Permif Fee S . <br />Plumbing Permit. � <br />PARTMENT OF 7UBLIC WORnS �t�c� `.j;:�,'" �,1!�ISION <br />� <br />Address — <br />Owner �='' <br />,1,;,4,,� � ' ,. <br />/-�1 ir� / <br />Plumber , � � ����� <br />City of Everett, by �', r'? �'� �`� �� � — <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 forinspection before covering. <br />This Permit shall expire by limifation 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 <br />A/ � <br />Roughing In — Date �� z 7 �- Inspector �� <br />Roughing In — Date— — Inspector <br />Final = Date_��Z'�Insp=ctor I�•!� <br />This Permit must be pos ed on Job before starting any Plumbing Work. <br />� <br />Pcrmit > ' ��l <br />