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City of Ererett <br />Date _ <br />Fi:fure� No. <br />Bath Tubs <br />C�othes Washers <br />Dentol Units <br />Dish Washerz I <br />Drinkmg Fountoins <br />Floor Drains <br />Kitchen Sinks <br />Roof Drains — Rainlcadcrs <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />SeO�ic Tanks—Druin Fields <br />Sumps <br />Urinals <br />Wotcr Closcts <br />Water Heaters <br />Wosh Basins <br />Laundry Tr�ys <br />Food Disposals <br />TOTAL FIXTURES <br />Permif Fee $ <br />Plumbing Permit � <br />DEPARTMENT OF PUBLIC WOk..S INSFtiCIlOia D!VISIUN <br />� � �,.��,� <br />Address -;.� � �i �: i�; ' � <br />Owner -- li % !"��(� <br />Plumber <br />'�,��.;iii<���-,l!; ;%!;:�i�J,-�.:l.:, ._ <br />i.,'l. � ` � .. . <br />City of Everett, by �' , _ <br />—IMPORTAN7 NOTICE— <br />All work must conform to the requirement of the City of EvereM Plumbing <br />Code. It shall be the responsibility of the permit holder to see that the City <br />Inspectian Division is notified for inspection befere ccvering. <br />This Permit shall expire by limitation and become null and void if work <br />authorized hereon is not wmmenced within 60 days from date of issue or if <br />work so authorired i; abandoned after commencenent for a period of 180 days. <br />Remarks and <br />Roughing In — Date— —_ _ Inspector.. — - _ <br />Roughing In — Date Inspector <br />Final — Date—_ Inspecror <br />This Permit must be posted on Job before starting any Plumbing Work. <br />`� Pcrmif .. , �, . <br />