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City of Everett <br />Date_ / Z /�c 117, <br />Appliances <br />No. <br />Conversion Units —� <br />to 400,000 BTUs <br />Conversion Units 3,1.r",ti, <br />over 400,000 BTUs <br />" <br />Cookstoves <br />Range Tops —Ovens <br />Furnaces to 400,000 OTUs <br />t unoces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />Piping <br />X <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Permit Fee $ <br />aas Installation Permit ✓ <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />. �sur•cti�., <br />Address-- <br />Owne <br />Installer <br />City o:Everett, by i, <br />—IMPORTANT NOTICE — <br />All work must conform to the provisions of the ordinances of the City of <br />Everett, Washington. It is the responsihility of the Permit Holder to see that <br />City Inspection Division is notified and the installation inspected before <br />covering. <br />Remarks and Corrections:/p ,: e k ��3/7z goer <br />r�� t <br />Inspection —Date Inspector 00-p <br />Call Back — Date Inspector <br />Final — Date Inspector <br />'I t,ls Permit must be posted on Job before Starting Installation. <br />Permit 9003 <br />