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City of Everet� <br />Date_ . __ <br />Fiiture� No. <br />Both Tubs - <br />Clethes Woshcrs � � � <br />Denrol Units I <br />Dish Washcrs <br />Drinking Fountains <br />Floor Droins <br />Kitchen Sinks <br />Roof Drains — Rainleoders <br />Shower Baths <br />Scrvice Sinks <br />Bor Sinks <br />$eptie Tonks—Drain Ficlds � <br />Sumps <br />Urinals <br />Water Closets <br />Watcr Heoters <br />Wash Basins <br />Loundry Troys <br />Foad Dispowls <br />TOTAL FIXTURES <br />Permit Fee S - <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Dirision <br />Address - - - - -- - - - _ _ - - <br />Owner - _.:1-i.+%i-ia.F'..�'. /.LI.L:::�..�+J. � . <br />-� � - <br />Plumber _ . �� . '�� f !�o%n,.c.+�/��4J � <br />- - --- . . � .. � . . <br />- <br />Ciry of Everett, by _ _ _ _ _ _ _ _ <br />—IMPORTANT NOTICE-- <br />All work must conform to the requimment of the City of Everett Plumbing <br />Code. It shall be the responsibility of the permit holder to see that the City <br />Inspection Division is notified for inspectiai 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 abandor.:d after commencement for a period of 180 days. <br />Remarks and Corrections____ _ _. _ _ __ ___ <br />Roughing In — Date.—_ _ _ _ Inspector_ __ _ <br />Roughing In — Date_ Inspector_ � <br />Final — Date `" ��' `� Inspector nT� - ���Ke.c.. <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit N� `�25 <br />