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CI(j� of Everetl <br />Date—� _ <br />Fi�eures No. <br />Bath Tubs <br />Clolhes Washers� - i � <br />Dentol Units I <br />Dish �Nashcrs <br />Drinking Fountoins <br />Floor Drains <br />Kiichen Sinks <br />Roof Drains — Roinleaders <br />Showcr Boths <br />Scrvicc Sinks <br />Gor Sinks <br />Septic Tanks—Drain Fields <br />$umps <br />Urinals <br />Wotcr Qosets <br />Wotcr Hwters <br />Wosh Basins <br />Loundry Troys <br />Food Dispaso�s <br />TOTAL FIXTURES <br />Permit Fec S <br />Plumbing Permit <br />DEPARTMENT OF PU9LIC WORKS Inspec�ion Dirision <br />Address — -- •.�c• -�1----- <br />. r ,, � <br />Owner_ _'-<>fe-.c.✓ �, ��L!�eJ _ � � <br />�� �, `. �,, .. � <br />Plumber — — 'r_., i, — ---- <br />City of Everett, by <br />—IMPORTANT NOTICE— <br />All work must conform to the requirement of the City of Everett Piumbing <br />Code. It shall be thc 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 trom date of issue or if <br />�vork so authorized is abandoned after commentement for a period of 180 days. <br />Remarks and Corrections: <br />Roughing In — Date-- <br />Roughing In — Date_ Inspector_ \—_ <br />Final — Date �' ��' �0�_ Inspector_/`�""t��'�'Qt" <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit NG 222 <br />