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Gas InstaClc�tion Perrr't <br /> Cify of Ererett DEPARTMEN7i �AF PUBLIC WORKS <br /> Inspection Division <br /> Date_ <br /> , AOo�hnce. No. Address , . . <br /> Converslon Units <br /> to 400,000 BTUs Owner � - � " � <br /> . " - � � ' -',- . ._e= <br /> Conversiun Units � <br /> wer 40U,000 BTUs Installer__- � - <br /> Cookstovcs � <br /> City of Everetr, by._ <br /> - Ranqe To,�s—Ovens <br /> Fumaces to �00,000 BTUs <br /> —IMPORTANT NOTICE— <br /> Fu��oces over 400,00o eTUs All work mu:�' conform to the provisions of the ordinances of the City of <br /> SPoce Heo�ers�0 70,00o eTUs : Everett, Washington. It is the responsibility of the Permit Holder to see that <br /> Soace Hearers over 70,00o BTUs C�h' �nspecti¢,n Division is notified and the installation inspected before <br /> Refriperotors �o�ering. <br /> Wo+er Hearers Remarks and Corrections:°�UL LZ _ �i. cec � I oo`r Q <br /> Pipinp _ p /n i _ <br /> Pipe in excess of 60' ��—w � 4. <br /> Clothes Dryers Inspection — Date___ <br /> — Inspector_ ___ <br /> Air Conditioninp Units — -- � <br /> Call Back — Uate_ Inspector___ <br /> ,;,: Final —pate � �0 Inspector_���u.,, <br /> This Perm'ot must be posted on Job before Starting Installation. <br /> Parmh Fee . . . $ . <br /> r _. <br /> P¢rmit <br />