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City of Everett <br />Date -- <br />fixtures <br />Both Tubs <br />Clothes Washers <br />Dental Units <br />Dish Washers <br />Drinking Fountains <br />rimr Drains <br />Kitchen Sinks <br />Roof Drains — Rainleaders <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 />Forma Fea S <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WOR. <br />Address <br />Owner___- _ <br />Plumber <br />INSPLCTION DIVISION <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 r, period of 180 days. <br />Remarks and <br />Roughing In — Date_ __— — Inspector._ —_-- <br />Roughing In — Date44�3Inspector Q _.� <br />Final —Date d3 73 Inspector —ice, <br />This Permit must be posted on Job before starting any Plumbing Work. <br />39 Permit ;'` <br />