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City of Everett <br />Date_ _ __ <br />Fixtures No. <br />Both Tubs <br />Clothes Washers <br />Dental Units <br />Dish Washers <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 />Permit Fee $ <br />Plumbing Permit t_ <br />DEPARTMENT OF PUBLIC WORKS Inspection Divistan <br />Address__ <br />r <br />Owner___ `!_(�— .� 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 />Remarks and Corrections:. — <br />Roughing In — 134��` Inspector 0 �p <br />Roughing In —Date <br />Final — Date_ Inspector <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit <br />