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City of Everett <br />Date <br />Fixtures <br />No. <br />Bath Tubs <br />Clothes Washers <br />Dental Units <br />Dish Washers <br />r <br />Drinking Fountains <br />Floor Drains <br />Kitchen Sinks <br />Roof Drains — Rainleaders <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />Septic Tanks — Drain Fields <br />Sumps <br />Urinals <br />Water Closets <br />Water Heaters <br />Wash Basins <br />Laundry Trays <br />Food Disposals <br />TOTAL FIXTURES <br />� ,' <br />0 <br />Permit Fac $ <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address 56 a 6 7 i ue� l.L 5 to <br />Owner_ _ <br />Plumber_ %'-Li r.ti <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 />Remarks and Corrections: <br />Roughing In —Date�— <br />Roughing In — Date Inspector <br />L. <br />Final —Date-- Inspector 1'11`1:!-y <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit W 132 <br />