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{ <br />�,, tat-a:.v--,. p,,.n•�.,�v.a-.._. �r,.i,_.:�r .....-..-.� r-__.... ,,. _�.-.��,.-,..ww.nu+..�.. _ _ ._.._�1t <br />.gas Installation Permit <br />City of Everett <br />Date 4�—/7— ZZ� <br />Appliances <br />No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Taps —Ovens <br />Furnaces to 400, 000 BTUs <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 />/ <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />i J1J/i/ FS7U. Rc Ru <br />- <br />� <br />� 3 <br />�U <br />Permit Fee $ 2i <br />DEPARTMENT OF PUBLIC WORKS <br />Address <br />Owner <br />Installer <br />City of E <br />i <br />Inspection Division <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. C� <br />Remarks and Corrections:Z�j °� F" N /� <br />Inspection — Date I <br />Call Back —Date-- Inspector <br />Final — Date L / —_7 Inspector /—�i 12, <br />This Permit must be posted on Job before Starting Installation. <br />Permit C' 1' <br />ra r9 <br />