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City of Everett <br />Date <br />Fixtures <br />No. <br />Permit Fee <br />Beth Tubs <br />clothes Washers <br />Dental Units <br />Dish Wnshers <br />Drinking Fountains <br />Floor Drains <br />Kitchen Sinks <br />r <br />Roof Drams - Rainleaders <br />Shower Baths <br />Semce Sinks <br />Bar Sinks <br />Septic Tanks - Drain FFrlds <br />Sunps <br />Urinals <br />Water Closets _ <br />Water Heaten <br />Wash Basin% _ <br />Laundry treys <br />Food Uuposels <br />TOTAL FIXTURES <br />Permit Fee s • • • S <br />Plumbing Permit INSPECTION DIVISION <br />DEPARTMENT OF PUBLIC WORKS <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 <br />0 days from date of <br />work so a hor zed is abandoned after commencement fora period ofs180 days. <br />Remarks and <br />Roughing In —Date— Inspector <br />Roughing In —Date— Inspector <br />Final — Date Inspector <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Permit 1 i1 <br />Y <br />