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City of Everett <br />Date `i - ��- i i� <br />Gas InStallation Permit <br />DEPARTMENT OF PUBLIC WORKS <br />Appliances No. <br />Convcrsion Units <br />to 400,000 6TUs <br />Conversion Units <br />ovcr 400,000 BTUs <br />Cookstoves <br />Rangc Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces ovcr 400,000 BTUs <br />Spaee Heaters to 70,000 BTUs <br />Space Hcatcrs ovcr 70,000 fiTUs <br />Pirenlacc Log <br />Wamr Hcaters `�� <br />Pipin9 <br />Pipe in excess af 60' <br />Clmhes Dryers <br />Air Condi�ianing Units <br />6oilcr <br />Pcrmit Gec . . . . rj � <br />ir;s��c� ion� oivisi��ra <br />i�'�,�_:� - ' ' ' � � <br />Address i i(J i .+�=✓� ;E'r"i.e'f> �/ � <br />Owner io��/�G<< P�l'� � 5 ���1"Uc�� (�,'./�. _ , �I <br />Installer %'�/i �'. � �' / �' rr� "i � �" <br />Ciry of Everett, by .-� � � �'�/c� ��lC <br />— IMPORTANT NO?ICE — <br />All work must conform ro the provisions of the ordinances of the City of Evere[t, <br />Watihington. It is the responsibility of the Permit Holder to see that City Inspection <br />Div:sion is notified and the installation inspected before covering. <br />Remarks and Cormcti <br />Inspection — Date _ Inspector <br />Cail Back — D <br />Final — Date <br />�n5jleCtOf <br />�05�]CC[of <br />This 'ennit must be posted on Job before Startin9 Installation. <br />Permit 3 2 2 0 <br />� <br />