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City of Everett <br />Date __ <br />Fi:lures No. <br />Bath Tubs <br />Clothes Wnshcrs <br />Dental Units <br />Dish Washers <br />Drinkirg Fountains � � <br />Fiour Droins <br />Kitcnen Sinks ..� <br />Roof Drains—Rainleaders <br />Snower Baths � <br />Servicc Sinks <br />Bar Sinks <br />Septic Tanks—Drnin Fields <br />Sumps <br />Urinals <br />Water Closets <br />Water Henters <br />Wash Basins <br />Laundry Trays � <br />Foad Dispomis <br />TOTAL FIXTURES <br />Permit Fec § <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Dirision <br />Aodress_--_ _— --- -- --- <br />Owner ----% — _ _ - <br />Plumber-- --- --- -- ---. --- <br />CityofEv_rett,by_'-- --' . __ _ __ <br />—IMPORTANT NOTICE— <br />All work must confcrm to the requirement of ihe CiTy of Everett Plumbing <br />Code. It shall be the responsibility of the permit holder to see that the CiTy <br />Inspection D�vision is notified for inspection before cevering. <br />This Permit shall expire by limitation and 'oecome null and void if H�ork <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 Inspector— <br />Ro�ighing In—Date Inspector _ <br />final —Date`a—z3��� Inspector�• �'Jw�-�k-,- _ <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit <br />