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City of Ererett <br />Date � <br />� — F�xtures No. <br />r <br />Permit Fee <br />Ba�h Tubs <br />Clolhes Washcrs <br />Denlal Units <br />Dish Washers <br />Drinkin� FounWins <br />F�ooi uralns -- <br />Kitchen Sinks <br />Roof Diains — Painleaders <br />� �Shower Ba�lhs � <br />S�•rvice Si�l igs <br />13ar Sinks <br />Septic Tanks — Drain Fields <br />Sumps <br />Urinals <br />Wa�cr C�osets <br />Water Hcatcrs <br />Wash Basins <br />Laundry Trays <br />Food D�spusals <br />TOTAL FIXTURES � <br />Permit Fee • • • • � <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS <br />Address—. <br />Owner <br />Plumber <br />Cityof Everett, <br />iiiSP't:Cii"i; 011`iilON <br />—IMPORTANT NOTICE— <br />All work must conform to the requirement of the City of Everett Plumbing <br />Code. It shall be tne responsibility of the permit holder to see that the City <br />Inspection Division is notified for inspection befere covering. <br />This Permit shall expire by limitation ard become nul! and void if work <br />authorized hereon is not commenced witn�n 60 days from date of issue or if <br />work so auihorized is abar.doned after commencement for a period of 180 days. <br />kemarks and <br />Roughing In — Date— Inspector <br />� Ro„ghing In — Date inspector <br />Final — Date Inspector <br />This Permit must be posted on Job before starting any Piumbing Work. <br />Permif � ; � �,, (_I <br />3 <br />