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City of Everett <br />Date -- <br />Fixtures <br />No. <br />Bath Tubs <br />Clothes Washers <br />Dental Units <br />Dish Washers <br />Drinking Fountains <br />Floor Drains <br />Kitchen Sinks <br />i <br />Roof Drains—Rainteoders <br />Shower Baths <br />service Sinks <br />Bar Sinks <br />Septic Tanks — Drain Fields <br />Sumps <br />Urinals <br />Water Closets <br />_ <br />Water Heaters <br />! <br />Wash Basins <br />- <br />t nundry Trays <br />Food Disposals <br />TOTAL FIXTURES <br />Permit Fee $ <br />Plumbing Permit , , <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address <br />Owner. <br />Plumber_- <br />r"� <br />City of E:crett, by _ _ _- <br />-IMPORTANT NOTICE — <br />All work riust conform to the requirement of the City of Everett Plumbing <br />Code. It ='call 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 />authorized hereon is not commenced within 60 days from date of issue or if <br />work so authorized is abandoned after commencement for a period of 180 days. <br />Remarks and Corrections: <br />Roughing In — Date —! `�0 Inspector 00 &0 <br />Roughing In -- <br />Inspector <br />Final —Date 1-31-7e _ Inspector—/9' <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit 1435 <br />