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Cify of Everett <br />Date <br />Fixtures 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 — Relnleoders <br />Shower Both& <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 f <br />Plumbing Permit C '� <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address <br />Owner_ _ �: _, _ ' s f- _-- . - -' � -- ---- - --- <br />Plumber- — — —7 - — — — <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 limitat;on 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 />11, <br />(Remarks and Corrections:_-�_ <br />Roughing In -Date �0_ �a Inspector — <br />Roughing In - Date — Inspector - <br />Final - Date - 1` 6f Inspector <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit W 113 <br />