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City of ErereM <br />Date --_ _ _ .. <br />� �as Installati�n Pe�rrr `� <br />DEPARTMENT OF PUBLIC WORKS <br />Applionces No. <br />Conversion Units <br />to 400,000 BTUs <br />Converslon Units <br />over 400,000 BTUs <br />Cookstaves <br />Ranye Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Pumoces over 400,000 BTUs <br />Spoce Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />Pipinp <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Permie Fee . . . j � � <br />Address <br />Owner <br />I nsta! ICr_ <br />City of Everett, by... <br />✓� <br />Inspection Division <br />—IMPQRTANT NOTICE— <br />AIl work must conform �o 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 �nstallation inspected before <br />covering. <br />Remarks and Corrections: L�-�a,QQ �-l�,�l '�S �� yl � oa�o /d- <br />Inspection — Date_ _ Inspector_.. _ <br />Call Back — Date_ _ Inspector <br />Final — Date � � �e - � � _ Inspector_-.��- <br />Th�s Permit must be posted on Job before Starting Installation. <br />Permit <br />