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City of Everett <br />Date- . <br />Fixtures No. <br />Bath Tubs <br />Clothes Washers _ <br />Dental Units <br />Dish Washers <br />Drinking Fountains <br />Floar Drains <br />Kitchen Sinks <br />Roof Drains — Ralnleaders <br />Shower Baths <br />Service Sinks <br />Bar Sinks <br />Septic Tanks — Droln Fields <br />Sumps <br />Urinals <br />Water Closets <br />Water Heaters <br />Wash Baslns <br />Laundry Tray <br />Food Disposals <br />TOTAL FI?TUit ES <br />Permit Fee $ X <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address <br />Owner- <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 —Date L Z d Inspector <br />Roughing In — Date Inspector <br />Final — Date to ro o_ Inspector AA-0 -h- VJ047 = <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit ' 1? <br />