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City of Everett <br />Date_ : _ ' __ <br />—:— <br />Apv��e�ces No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstaves <br />Range Tops — Oven, <br />Furnaces to 400,000 BTUs <br />Fumaces over 400,000 BTUs <br />Spoce Heoters to 70,000 BTUs <br />Spate Heoters over 70,000 BTUs <br />Refrigerators <br />Waler Heaters <br />Piping <br />Pipe in excess of 60' <br />Ciothes Dryers <br />Air Conditioning Units I <br />Pcrm�t i��c . . . g - � <br />'Gas Installation Perm�+� <br />DEPARTMENT OF PUBLIC WORKS <br />Inspection Division <br />� 1 <br />Address �S i � <br />li <br />Owner � � <br />Installer <br />City of Everett, by. <br />—IMPORTANT NOTICE— <br />All work mu;t 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 In„pection Diyis� is notified and� the installation inspected before <br />covering. %Ip (� ,b�„$� _ �/ <br />Remarks and Corrections�es,r �dtu, l�- 7JD coo � iool a t0 <br />inspection — Date__l�` � Inspector_� � � <br />Call Back — Date_ _ Inspector__ <br />Final —Date� ��- � Inspector_��`�4 <br />This Permit must be posTed on Job before Starting Installation. <br />Permit <br />�_i <br />