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City of Everett <br />i <br />Date o <br />Fixtures <br />Bath Tubs <br />_No.__ <br />Clothes Washers <br />Dental Units <br />Dish Washers <br />Drinking 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 />Wash Basins <br />Laundry Trovs <br />Food Disposals <br />TOTAL FIXTURES <br />Permit Fee $ <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />7� <br />Address77 <br />OwnerV --- <br />Plumher <br />i7 <br />City of Everett, by .___P�/C ✓ �. 1— _ _ _ _ <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 for inspection before covering. <br />This Permit shall expire by !imitation 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 fora period of 180 days. <br />Remarks and Corrections:_ <br />Roughing In — Date___ Inspector .— <br />Roughing In— Date Inspector — <br />Final — Date ' 5� Inspector— rg _ <br />This Permit must be posted on Job before starting <br />any Plumbing Work. <br />Permit N? 284 <br />