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City of Everett <br />Date_ — <br />goth Tubs <br />Clothec Washcr� <br />Denlal Uni15 <br />�---- <br />Dish Wasliers <br />Drinking Fountains <br />Floor Drains <br />Kitchen Sinks <br />Roof Drains — Rainlcaders <br />Shower Baths <br />—�— <br />Scrvkc Sinks <br />Bor Sinks <br />Septie Tanks—Drain Fields <br />Sumps <br />Urinals �� <br />Wotcr C�osets <br />Water Heaters <br />Wash Basins <br />Laundry Troys <br />TUTl�L FIXTUR[5 <br />Permif Fec S � <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS <br />Inspection Division <br />, . . ..4. ...�f;.G'2"T..1,=J-:.u.`=- � — <br />Addmss - -`' - — � <br />Owner .= � +� � �; . <br />� � i!J /� _—� <br />,� i:' - _,/..,'____�.LL <br />Plumber_-=- - _- -- <br />City of Everett, by . - - - - - - - - --� <br />MPORTANT NOTICE- <br />- .— I <br />/ All work must conform to the requirement c m t holder ro seertha tthe C ty <br />— Code. It shall be the responsibility of the p <br />— Inspection Division is notified foll� taY o�n andebecome null9and void if work <br />; his Permit shall expire by <br />authorized hereon is not commenced within 60 days from date of issue or i <br />�vork so authorized is abandoned after commencement for a period of 180 days. <br />Remarks and Corrections:_ --- - - — <br />—_ ���ti�-w�s..--� <br />$ _ �' �`1 Inspector_ <br />Roughin9 In — Date <br />Roughing In — Date—�- <br />Inspector_ ----� <br />Final — Date ""�".'".— <br />This Permit musf be posted on Job before starting any Plumbing Work. <br />Permit 1�� 863 <br />