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City of Ererett <br />Date —,__ <br />Fi�furet No. <br />Bath Tubs <br />Clothes Washcrs j <br />Dentai Units <br />Dish Woshers / <br />Drinking Fountoins <br />Floor Drains <br />Kitchen Sinks � <br />Roof Drains — Rainleoders <br />Showcr Boths <br />Service Sinks <br />Bar Sinks <br />Septic Tanks—Drain Fields <br />$umps <br />Urinals <br />Watcr Cbsets <br />Water Heoters � <br />Wosh Basins � <br />Laundry Troys <br />Foad Disposais <br />TOTAL FIXTURES <br />Permif Fee S <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC W01�.1 I�lo:'<: i�`'''.� I)IVISION <br />Address_ `i % ' ,' : r � _ , <br />Owner � �7 t� .�=. �`.-iS f'/ iN .C.% <br />`� / <br />Plumber ( i�f �i., sf�.r.� ����v <br />City of Everett, by - <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 sce that the City <br />Inspedion Division is notified for inspection 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 a(ter commencement for a period of 180 days. <br />Remarks and Correcti <br />Roughing In—Date�s �3 Inspector. '��'��� <br />Roughing In — Date _ Inspector_ <br />Final — Date_ -___ .__ Inspector— <br />This Permit rnust be posted on Job befom starting any Plumbing Work. <br />� <br />Permit <br />