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City of Everett <br />i <br />Date LP <br />Appliances <br />No. <br />Conversion Units —� <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops — Ovens <br />pumoces to 400,000 BTUs_ <br />Furnaces over 400,000 BTUs <br />LL 20 <br />�( <br />Space Hecters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigcraicrs <br />Water Heaters <br />Piving <br />Pipe in excess of 60' <br />Clothes Dryers - <br />Air Conditioning Units <br />Permit Fee . . . S <br />%laic Installation Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />1 i r� <br />Address .. 11 16 L f '' �...- A .51NO _ <br />Owner f (2, 0A11 L JAI <br />Installer <br />City of Everett, <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. �t <br />Remarks <br />n(and CorrectionsL atUy' f711'1 doe%+ A <br />Inspection — Date Inspector <br />Call Back — Date. Inspector <br />Final — Date C-2� -1 L Inspector 131 p' _ <br />This Permit must be posted on Job before Starting Installation. <br />Permit ' ' C)94q <br />