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City of EvcreM <br />Date____ . _ _. _ <br />Applionce� ____I_. No. <br />Conversion Units � <br />to 400,000 BTUs <br />Convcrsion Units <br />over 400,000 BTUs <br />Cookstaves <br />Ronge Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces ovcr 400,000 BTUs <br />$poce Heaters to 70,000 BTUs <br />Space Heoters over 70,000 BTUs —� <br />Refrigerotor, <br />Water Heaters <br />Fiping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Permit Fee . . . j <br />ias Installa4eon Perm <br />DEPARTN.ENT OF PUBLIC WORKS <br />Address_ <br />Owner <br />Installer__ <br />City of Everett, by. _ <br />Inspecfion Dirision <br />—IMPORTANT NOTICE— <br />All work must conform to the provisions of the ordinances of the City of <br />Everett, Washington. It is thz responsibiliTy of the Permit Holdr.r to see that <br />City Inspection Division is notified and the installation inspected before <br />covering. <br />Remarks and Corrections: '� -- s�"�. s�a �� io� 9, ��- <br />Inspection —Date_ _._____ Inspecror. __ ____ _ <br />Call Back — Date_ _ Inspector_ ___ <br />Final — Date �° �• � � Inspector_ _�_ n• <br />This Permit must be posted on Job before Starting Installafion. <br />Pe►mit <br />