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��. <br />City of ErcreB <br />Date_ _ <br />B�th Tubs <br />�-- <br />Clcthes Woshers <br />Dental UniiS <br />Dish Washers <br />Drinking Fountoins <br />__'_'--- <br />Floor Droins � <br />—�__ _ <br />Kitthen Sinks <br />Roaf Drains—Roin'caders <br />Shower liaths <br />Scrvice Sinks <br />Bor Sinks <br />Septie Tonks--Droin Fields <br />j5umps <br />Urinals <br />Water Clrsets <br />Watcr l�coters <br />Wash �fosins <br />Loun�;ry Troys <br />F�i Disposols <br />i"OTAL FIXTURES <br />Permit Fee , , , S <br />Plumbing Permit <br />DEPARTMENT OF PUCLIC WORKS G/ <br />Inspection Dirision <br />Address _ _ _' _�T _ <br />- :- _ _ . _ � ._ —.__ __ — _-- <br />�wnef_ _.. __. . ..c /c+-'D� :!_� . � <br />—'. � .T � — — <br />Plumber. _ � ` / �./-� ? , <br />---- � ._ _._ �._ _ --�-_ __- <br />Gry of Everett, by =— - -- — - : - -- - <br />—IMPORTANT NOTICE— <br />All work must conform tc fhe requirrmenf of the City of EveretT Pl�mbing <br />Code. It shall be the responribility or the permit holder to see that the City <br />inspecfion Division is notified for inspection before covering. <br />This Permit shall expire by limitatior, and betome null and void if work <br />authorized hemon is not commenwd 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__T_I � � �Inspettor.C�.((Z� <br />Roughing In—Date _ Inspector__ <br />Final —Date __ Inspector___. <br />This Permit must be posted on Job before starting any Plumbing Work. <br />PcrmiY N�' 11(� <br />