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City of Ererett <br />Firtures No. <br />Bath Tubs <br />Clothes Woshers <br />Dental Un�ts <br />Dish Washers <br />Drinking Fountain'� <br />Floor Drains <br />Kitchen Sinks <br />Roof Drains — Rainl�.�ders <br />Shower 6ath: <br />Service Sinks <br />Bar SinPs <br />Septic Tanks--Drain Fields <br />Sumps <br />Urincls <br />Water Closcts <br />Woter Heaters <br />Wosh Basins <br />Laundry Trays <br />Focd Disposals <br />TOTAL FIXTURES - <br />Permir Fee � S �� <br />Pluimbirag P�ermit <br />DEPARTMENT '�I PU@I.IC WO�. .S P'"' ' ' "!"i,',Itlil <br />� , . .. , �'_.iG <br />Address— ' "- <br />Owner _ i.._ .. ':t? �/�'� ----- <br />. — <br />Plumber � •"• ,( < �^ i .. _--- <br />City of Everett, by ' <br />—IMPORTANT NOTICE— <br />All work must conform to the requirement of the City of Everett Flumbing <br />Code. It shall be the responsibility of the permit holder to see thai the City <br />Inspectinn 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 af ter commencement for a period of 180 days. <br />Remarks and Correct <br />Roughing In — Date-- Inspector_. <br />Roughing In — Date— _ Inspector <br />Final — Date — Inspector <br />This Permit mi.st b= posted on Job before starting any Plumbing Work. <br />J/ <br />Permit <br />