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C <br />City of Everett <br />Date--' — % ` , y <br />Fixtures <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— Rainleaders <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />Seatic Tanks --Drain Fields <br />eump3 <br />Urinals <br />Water Closets <br />Water Heaters <br />Wash Basins <br />Laundry Trays <br />Food Disposals <br />TOTAL FIXTURES <br />Permit Fee $ <br />In <br />Plumbing erm, <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address _ter '7 %LL /i,- <br />� J r. <br />Owner_ <br />Plumber__I�/ <br />City cf Everett,'by�' <br />—IMPORTANT NOTICE — <br />All work must conform to the requirement of the City cf 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 fora period of 180 days. <br />Remarks and Corrections: <br />Roughing In — Date Inspector_�--�— <br />Rough;ng In — Date Inspector — <br />Final — Date_ Inspector_. <br />This Permit musi be posted on Job before starting any Plumbing Work. <br />Permit W 760 <br />