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City of Everett <br />Date ---- <br />Fixtures <br />No. <br />Both Tubs <br />Clothes Washers <br />Dental Units <br />Dish Washers <br />Drink;ng 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 />Urinals <br />Water Closets <br />Water Heaters <br />\Wo,h Basins <br />Laundry Trays <br />F..TD.,pos.ls <br />TOTAL FIXTURFS <br />rP..... Fee . . . <br />Plumbing Permit C-1, <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />-!'�/o 9 <br />Address <br />Owner r <br />Plumber— 4' nc�4-1' c- <br />":_1 <br />City of Everett, by —I __ <br />—IM?ORTANT NOTICI:— <br />All work rnust conform to the requirement of the City of Everett Plumbing <br />Code. It .;hall 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 />authorize�" thereon is not commenced within 60 days from date of issue or if <br />work soatithorized is abandoned after commencement fora period of 180days. <br />Remarks and Corrections: - <br />Roughing In — Datel_-7-f-�L_ Inspector/_-1:05-1�_111�1f <br />Roughiig In —Date '/Z21?/ Inspecto <br />Final — Date— Inspector <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit <br />