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City� �04 Ererett <br />Date _— _ <br />Fi:eurca � No. <br />�oth Tubs <br />Clothes Woshers <br />o���oi u���: <br />Dish Woshers <br />Drinking Fountains <br />Floor Droins <br />Kitchen Sinks <br />Roof Droins—Roinleaders <br />Showcr Boths <br />Service Sinks <br />Bar Sinks <br />Septic Tanks—Qrain Fields <br />Sumps <br />Urinalz <br />Water Closefs <br />Water Hcatcrs <br />Wosh Basins <br />Laundry Troys <br />Food Disposols <br />TOTl�L FIXTURES I <br />Permit Fee S <br />Plumbing Permit '� <br />DEPARTMENT OF PUBLIC WORKS Inspec►ion Dirision <br />Address - --- _ _ _ <br />Owner. _ , %l._� !�� �. >�, l,[,l,G_.-,��� -- <br />%� �' 1 <br />Plumbcr. - - - . � =�, c� '_ .--_ - <br />. ' -�i �, . !�� <br />Cifyof Everett, by _ _. - _—_ --- <br />-IMPORTANT NOTICE— <br />All work m..,' conform to the requiremem of the City of Everett Plumbing <br />Code. Ii shall be the responsibiliry of the permit holder to see +hat the City <br />Inspecfion Divisio� is nofified for inspedion before covering. <br />This Fermit shall expire by limitation and become null and void if work <br />authorized hereon is not mmmenced within 60 days tmm date of issue or if <br />work so authorized is abandoned after mmmencement for a period of 180 days. <br />Remarks and Corrections:__- _ _ _ ___ _ __ <br />Roughing In — D:.te_ Inspector _ ____ .__ <br />Roughing In — Datc—_— Inspector_—_ __ <br />Final — Date_ _. __ _— Inspector. - — — —__ <br />This Permit must be posted on Job before starting any Plurnhing Work. <br />Pcrmit HG 239 <br />