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Iiitj, of Everett <br />Date_ <br />Appliances <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 100,000 BTUs <br />Cooksloves <br />Range Tops —Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Water Healers <br />Piping <br />Pipe in excess of 60' <br />Clothes pryers <br />Air Ccnditioning Units <br />Permit Fee . . . $ <br />Gas Installation Perrr -t <br />DEPARTMENT OF PUBLIC WORK) <br />Inspection Division <br />No. Address <br />Owner_ _ <br />i nsta ll,ir_ <br />City of Everett, by.. <br />—IMPORTANT NOTICE — <br />All work must conform to the provisions of the ordinances of the City of <br />Everett, Washington. It is the responsibility of the Permit Holder to see that <br />City Inspection Division is notified and the installation inspected before <br />covering. <br />Inspection — Date. - ___ .__ Inspector. ___ <br />Call Back --- C„e_ _ Inspector- _ <br />Final — Oate- Inspector. <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />