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� cf�y of Erorofr <br />Date � � <br />Appliancrs No. <br />Comcrsion Units � <br />to 400,Q00 6TUs <br />Convcrsion Unils � <br />ovcr 400,000 BTUs I <br />Cookstoves .____... I .. ___ __ <br />R�ngc Tcps — Ovcns <br />Furnures �� 400l1C0 CiTUs <br />Furnaces avcr J00,000 OTUs � <br />Spacc Hmtcrs to 70,000 �TUs I <br />— -- - — ---'- — <br />Spacc Hcatcrs ovcr 70,000 f3TUs �i <br />Refrigcmtcrs _—�— —.---' ---�. <br />'—I n � <br />Woter Hcotars -- " <br />_ _� <br />Piping <br />Rpc in caccss ot 60' <br />Cloihce Uryers ! <br />Air Ccnditionin9 Units �'� <br />..-- --j --- <br />Permif Fce . . . $ <br />�;as Installatian Perrni� <br />DEPARTMENT OF PUBLIC WORKS <br />/ <br />Inspecfion Division <br />Address ---�---� =` = ----��=-'--L -'-� . . - <br />Owner.._ /��E_VF" A.�G�G.-(> --- <br />Installer--'. -� -"_'=' --- <br />City of Evercrt, by. . '__:��.--- <br />-lM�ORT^r1T h0i1C�— <br />All work must conform tn the provisions of the ordinances of the City of <br />Evcrett, Washinglon. It is the responsibility of the Permit Holder To ser: that <br />City Inspection Division is notiFied and the installation inspected bcfore <br />covering. <br />Remarks and C�irmctions _____.__________ <br />Inspectinn — Date Inspecfor __. _______ _ _ <br />Call Back --Date_._ _ Inspectar ._.—________ _._ <br />Final — Date _ Inspr.c�or_ <br />This Permit must be posted on Job before Starting Installation. <br />Pcrmit <br />