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City of Everett <br />Date " <br />Fixtures <br />No. <br />Bath Tubs <br />Clothes Washers <br />i. <br />Dental Units <br />Dish Washers <br />Drinking Fountains <br />Floor Drains <br />Kitchen Sinks <br />1 <br />Roof Drnins—Rainleaders <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />Septic Tanks —Drain Fields <br />Sumps <br />Urinals <br />Water Closets <br />1. <br />Water Heaters <br />1 <br />Wash Basins <br />l <br />Laundry Trays <br />Food Disposals <br />TOTAL FIXTURES <br />li <br />Permit Fee $ <br />Plumbing Permit ✓ <br />DEPARTMENT OF PUBLIC WOkmS INSPECTION DIVISION <br />Address 1':26 I I CP: <br />Owner—EXERETT IIQUSTtIC A1111iOR A <br />Plumber , R VT71M1MJ 7N�— — <br />ty of Everett, by �xf�. <br />sr�f �\yIMPORTA�Iift?-NOTICE— <br />All work must conform to the requirement 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 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 from date of issue or if <br />work so authorized is abandoned after commencement for a period of 180 days. <br />Remarks and Corrections: <br />Roughing In — Date % � Z Inspector z, e <br />Roughing In — Date Inspector <br />Final —DateO /7 Z Inspector <br />This Permit must be posted on Job before starting any Plumbing Work. <br />MA <br />Permit r' n 0 D <br />