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Gry l5f Evcrcr� <br />Dafe__ _._ _ <br />Fi�rures No. <br />Bath Tubs <br />Clothes Washcrs <br />Dentnl Units . . I , <br />Dish Woshers <br />Drinking Founfains <br />Floor Omins -. <br />Kitehen Sinks ' <br />Roof Drains — Roinleo�ers <br />Showcr Baths <br />Scrvicc Sinl:s <br />oa, s��ks <br />ScG�ic Tanks—Dmin Fields �� <br />Sumps <br />Urinols <br />Woter Clcsc�s <br />Watcr Hcatcrs <br />Wash Basins <br />Laundry Trays <br />Food DisDomis <br />TOTAL FIX"i URES � <br />Pcrmil Fce $ <br />Pl�umbing Permit �� <br />DEPAR'�MENT OF PUBLIC WORKS Inspection Division <br />Address <br />. _ _ __� — , —__—_—. . <br />Owner i ���1... "� .��d�'c*�A'�i-� <br />_._— _ . . 'Y'' . .�. <br />Plumber -- - - - -- —{�—a[�v _�A�-�� �e' -d_.aU-�/ .^ .... - — <br />City of Everett, by _ —_ _ ___ _ _ <br />—IMPORTANT NVTICE— <br />All work must conform to the requirement of thc 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 cove�ing. <br />This Permit shall expire by limitation and become null and void if work <br />authorized here�n is not commenced wilhin 60 days from date of ,_>ue or if <br />work so authorized is abandened after commencement for a period of 180 days. <br />Remarks and Corrections: <br />Roughing In — Date_— _ __ Inspector_ <br />Roughing In — Date_— __ Mspector. --- <br />Final —Date_3-f�'��Inspector__��y <br />This Pr.rmit must be ported on Job before starting any Plumbing Work. <br />Permit ��' fj'8 <br />