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City of Everett ('� <br />Date _ `. <br />Fixtures <br />—1 <br />No. <br />Bath Tubs <br />Clothes Washers <br />Dental Units <br />Dish Washers <br />Drinking Fountains <br />Floor Drains <br />Kitchen Sinks` <br />Roof Drains — Rainlca-!_:+ <br />Shower Both, <br />Service Sinks <br />Bar Sinks <br />Septic Tanks — Drain Fields <br />Sumps <br />Urinals <br />Water Closets <br />j <br />Water Heaters <br />Wash Bosins <br />' <br />Laundry Trays <br />Food Disposals <br />TOTAL FIXTURES <br />Permit Fee $ <br />Plumbing Permr(� 1 <br />DEPARTMENT OF PUBLIC WdKAS INSPECTION DIVISION <br />Address <br />I <br />Owner____— <br />t <br />Plumber <br />City of Everett, by� <br />—IMPORTANT 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 />Remark_ and Corrections: <br />Roughing In — Date Inspector_ _ <br />Roughing In— Date Inspector.__ <br />Final — Date—.-- Inspector— — <br />Tilis Permit must be posted on Job before starting any Plumbing Work. <br />W-JA <br />Permit <br />