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City of Everett <br />Date <br />Appliances <br />No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />i <br />Cookstoves <br />Runge Tops — Ovens <br />Furnaces to 400,000 BTU: <br />Furnaces 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 />Pipe in excess of 60' <br />Clothes Dryers <br />Air Condificning Units <br />Permit Fee $ <br />Gas Installation Perm'4- <br />DEPARTMENT OF PUBLIC WORKS Inspection Divisio <br />Ade.ress '� ---- - - - - - - --- - - - - <br />Owner. <br />Installer_ - <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 installatinn inspected before <br />covering. <br />s,Remarks and Corrections.Llt?er',cnr ,<.:.o.. /cote 13 /e <br />Inspection -Date _ _ Inspector <br />Call Back -Date-- <1- Inspector <br />Final -Date - b - G a Inspector. - P�44"'_ <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />