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City of Ererett <br />Date_—�----- — <br />/�yyliencn <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Ran9e To05 —'�`'ens <br />Furnaces co 409,000 BTUs <br />Fumaces over 400,000 BTUs <br />5pace Heoters ta 70,000 BTUs <br />$pace Heuters rner 70,000 BTUs <br />Retrigerators <br />Water Heaters <br />PiPinp <br />pipe in excess of 60' <br />Clothes Dryers <br />Air Conditionin9 Unit__� <br />Pannif Fee • • • S <br />-�as Installation Perrr'` <br />DEPARTMENT OF PUBLIC WORKS <br />Ho. Aaaress�— <br />, <br />pwner <br />Installer <br />_ City of Everett, by. <br />0 <br />Inspection Division <br />—IMPORTANT NOTICE— <br />AIl 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 Ad the�dsqtalla�i�n inspected before <br />covering. c�(j O n� r� 1 /Y N <br />Remarks and Corrections: <br />, �� ��' ' <br />—Date �^ y �� Inspector �' ' — <br />Inspection <br />Call Back <br />—. Date— Inspector_ <br />Final —Date---�— �nspector <br />This Permit must be posted on Job betore Starting Installation. <br />Permit �': <br />