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City of Everett <br />Date <br />� FisW.c� No. � <br />�ath Tubs <br />Clothes Washers i <br />Dcntol Units � <br />Dish Washcrs � <br />Drinking Fountoins I � <br />Floor Drains <br />Kitehen Sinks <br />Root Dmins—Roinleadcr5 <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />Septic Tanks—Droin Fields <br />Suinps <br />Urinals <br />Watcr Closets � <br />Water Hcafcrs � <br />Wash Basins <br />Laundry Trays <br />ForJ Disposnls <br />TOTAL FIXTURES ( <br />Permit Fec $ � <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />��13 <br />Address� -- ------ — - - ---- - ---- <br />Owner-- - -- ---- -"-----=*='`': , -_;.� , _ <br />='=�' <br />Plumber ___ _ _ _ -`�_.------"=`------ �-- <br />Gity of Everett, by -_. ___�_ . _ _ -__-. — — <br />—IMPORTANT NOTICE— <br />All work must contorm to the requirement of ihe City of Everett Plumbing <br />Code. It shall be ihe resporsibiliry uf the permit holder to see that the City <br />Inspection nivision is notified for inspection before covering. <br />Thi� Permit shail expire by limitation and become null and void if work <br />authorized hereon is not <.rommenced within 60 days (rom date of issue or if <br />work so authorired is abandoned after corr.rnencement for a period of 180 days. <br />Remarks and Corrections: <br />Roughing In — Date 7" v'_� Q Inspector_�`�10uy-_"'�'�^-• <br />Roughing In — Date !nspector <br />Final — Date Inspector-__— <br />This Permit must be posted on Job before starting any Plumbing Work. <br />P��m,� N° 957 <br />