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City of Everett <br />Date_ <br />Both Tubs <br />Clothes Washer <br />Dental Units <br />Dish Washer <br />Drinking Fountoins <br />Floor Drains <br />Kitchen Sinks <br />Roof Drains — Rainle ider <br />Shower Baths <br />Se".ce Sinks <br />Bar Sinks <br />Septic Tonks—Draln Fields <br />Urinals <br />Water Closets <br />Water Heaters <br />Wash Basins <br />Laundry Trays <br />Food Disposals I <br />TOTAL FIXTURES <br />Pena Fee f <br />Plumbing Hermit <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address <br />Owner_._. _.. _.(t .__r <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'3f'76 7 1 Inspector. 4 ':Z r <br />Roughing In — Date Inspector <br />Final — Date Inspector <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit 171,10 <br />