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City of Everett <br />Date-- <br />Fizfures � No. <br />Barh Tubs <br />Clothes Wcsher; <br />Denml Units I <br />Dish N'oshers <br />Drinking Fcuntains <br />Floar Droins <br />Kitchen Sinks <br />Roof Drains — Rainlcadcrs <br />�'�owcr Baths <br />Servicc Sinks <br />Bar Sinks <br />Scptic Tanks—Drain Fields <br />Sumps <br />Urinals <br />�Vate� Closets <br />Wu°er Heatcrs � <br />WasF� Bosins <br />Laundry Trays <br />Fuod Disposals <br />TOi'AL FIXTURES <br />Permit Fcc $ " <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address -'T�"—r=--� " ` .. � . --_`.'_ <br />Owner_ • =�'/`= -r?_c:_� �—�'�"�-�^�"��-"— <br />Plumber_ <br />f� � /�ttl. -� �f� �?� <br />. '. t .. �.,,,, , <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 h.�lder to see that the City <br />Inspection Division is notitied forinspection before covering. <br />This Pe�mit shall expire by limitation and become null and void if work <br />authorized hereoo is not commenced within 60 dc,s `ro�n date of issue or if <br />work so authorized is abandoned after com�nencement for a period of 180 days. <br />Remarks and Corrections: <br />Roughing In — Date--- Inspector_ <br />Roughing In — Date Inspector <br />Final — Date--.___ _ Inspector <br />This Permit must be posted on �ob before starting any Plumbing Work. <br />� <br />Pcrmif N� �2J <br />