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City of Everett <br />Date oL " d_l_ 6 S-- <br />Gas Installation Permiit <br />DEPARTMENT OF PUBLIC WORKS <br />Appliances <br />No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />_ <br />Range Tops —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 />Y <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />L�— <br />Air Conditioning Units <br />Permit Fea $ <br />Address_ `>n <br />Owner <br />Installe Ij IZ <br />City of Everett, by. +^� <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. <br />Remarks and Corrections:iAts `al-00- t00%,_/1 _ a <br />Inspection —Date__--- Inspector_.___._____-___—_ <br />Call Back — Date— .- Inspector__— <br />w <br />Final—Date-2-2 05 Inspector__.p_p� <br />This Permit must be posted on Job before Starting Installation. <br />Permit �' , <br />