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Ciry of Everett <br />Date_ <br />Fi:turet � No. <br />Both Tubc I <br />Clolhes Washcrs <br />Dental Units <br />Dish Woshcrs <br />Drinking Fountains <br />Floor Orains <br />Kitchen Sinks <br />Roof Droins—Rainleaders <br />Showcr Boths <br />Senicc Sinks <br />Bor Sinks <br />Septi^ Tanks—Droin Fields <br />$umps <br />Urinals <br />Water Closets <br />Wotcr Hcotcrs � <br />Wash Basii,s <br />Loundry Trays <br />Food Disposais <br />TOTAL FIXTURE$ <br />Pcrmit Feo j <br />Plumbirog Permit <br />6EPARTMENT OF PUBLIC WORKS <br />Address <br />Owner _ _ _ __ _._ <br />i.; / . <br />Plumber. - --.__._._. _�._'—..—. <br />City of Everett, by _ _ _ - _ _ _ _ _ - - -_ - - <br />�� <br />Inspecfion Dirision <br />—IMPORTANT NOTICE— <br />All work must conform to the require;nent of the City of Everett Plumbing <br />Code. It shall be the msponsibility o( the permit holder to see that the City <br />Inspection Division is notified (or in•;pection before covering. <br />This Permit shall expire by lirr,itation 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 affer commencement for a period of 180 days. <br />Remarks and Corrections: <br />Roughing In — Datef �''y"' �� InspecTor���'K✓u" "4� <br />Roughing In— <br />Final — Date _ Inspector <br />This Permit must be posted on Job tr�fore starting any Plumbing Work. <br />Pcrmit <br />