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a <br />City of Everett <br />Date ____— <br />Fi�tures No. <br />Bath Tubs <br />Clotnes Washers <br />Dental. Units _� . <br />Dish Washers <br />Drinking Fountuins - <br />Floor Drains <br />Kitchen Sinks <br />I:oof Drnins—Rainle�dcrs <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />Sepiic Tanks—Drain Fie;ds <br />SumpS <br />Urincls <br />Water Closets � � <br />Wu,•er Heater. <br />Wash 8asins ' <br />Laundr;� Troys <br />Food Dispowl: <br />TOTAL FIXTURES <br />Pcrmit Fcc $ <br />Piumbing PerGni� <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address_ __ _ '_ <br />U'.vner. . _—____ <br />. . �; r . .�.._. . <br />Plumber ---- - -� .�.._.�-e-.�_a i_-.." , �"j <br />City of Fverett, by--. -- --------- -- -- ----- — <br />—IMPORTANT NOTlCE— <br />All work rnust �onforrn to the requirement of the City of Ever.=.+t Plumbing <br />Code. H snall be the responsibility of the permit holder to see ihat ihe City <br />Inspection Division is not fied tor inspection before covering. <br />Thic Permit shall erpire by limitation and become null and void if work <br />authorizcd 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 1 L�0 days. <br />Remarl:s and Corrections:____. <br />Roughing In �— Date ��"'1 �" � � InspectorlJbs:�X�'"_�"'" <br />Roughing In —• Date _._ Inspector_ <br />Final — Date In•;pector — - <br />l'his Permit must be posted on :ob beforr_ starting any Plumbing Work. <br />n <br />Pcrmif NG ��,,�Y <br />