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Cify of EvereH <br />Date _. _ _ __ <br />Appliance. Na. <br />Conversion Units <br />to A00,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Fumoces over 400,000 6TUs <br />Space Heatere ro 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerotors <br />Woter Neaters <br />Pipinp <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Parmif Feu . . . ; <br />"ias Installation Perm' � <br />DEPARTMENT OF PUBLIC WORKS <br />Address. <br />�nstaller <br />City of Everett, by <br />✓ <br />I�spection Division <br />—IMPORTANT NOTICE— <br />AIl work must conform to the provisions of the dinances of the City of <br />EvereTt, Washington. It is tF�e responsibility of the Fermit Holder to see that <br />CiTy Inspection Division is notified and the installation inspected before <br />covering. <br />Remarks and Corrections: ��O ooD /U J00% "f <br />Inspection —Date �-�6'�� Inspecror_�����___ <br />Call Back — Date— _ Inspector_ <br />Final — Uate ' -��' -� � Inspector_ �✓ � . �i�`�"/ <br />This Permit must be posted on Job before Starting Installation. <br />Permit '. <br />