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City of Everett <br />Date __ <br />Fixtures <br />No. <br />Permit Fee <br />Bath Tum <br />Clodtes Wasr <br />Dental units <br />Dish Washers <br />Drinking Fountains <br />Floor Drains <br />Kitchen Sinks <br />Root Drams - Raminaders <br />Shnwet Beth, <br />Srrvwe Sinks <br />Bar Sinks <br />Septic Tenks -- Drain Fields <br />Sumps <br />Urinals <br />Water closets <br />Water Hasten <br />Wash Basins <br />Laundry Trays <br />Food Dnposals <br />TOTAL FIxTURES <br />Permit Fee . . . . ,br <br />Plumbing Permit <br />DEPARTMENT OF PUBLIC WORKS <br />Address <br />Owner <br />Plumber <br />City of Everett, by <br />INSPECTION DIVISION <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 irate 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 Inspector <br />Roughing In — Date Inspector <br />Final — Date Inspector <br />This Permit must be posted on Job before starting any Plumbing Work. <br />Y Permit 0 <br />