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City .of ;Everett <br />Date _._ _ <br />Appliancea No. <br />Conversfon Units <br />to A00,000 BTUs <br />Convenfon Units <br />over 400,000 BTU: <br />Cookstoves <br />Range Tops—Ovens <br />Furnoces to 400,000 BTUs <br />Furnoces over 400,000 kiTUs <br />Space Heoters to 70,000 B'!Us <br />$Dace Heoters over 70,000 [3TUs <br />Refriperotors <br />Water Heaters <br />Pipinp <br />PiDe in extess of 60' <br />Clothes Dryers <br />Air Conditioning UnRs <br />Permil Fee . . . S <br />Gas Installation Perrr�t <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Owner <br />Installer. <br />City of Everett, <br />—IMPORTANT NOTICE— <br />Ail wc�rk must conform to the provisions of the ordinances of the City of <br />Everett, :Yashington. 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: �0�� l�d-� +. � Pi. a..rz`�_ <br />� �Q"a. ,Q,, ��: l� uz ��-P <br />Inspection — Date— Inspector. <br />Call Back — Date_ Inspector_ __ <br />Final — Date �b- � �- � � Inspector ` �.�+^w <br />This Permit must be posted on Job before Starting Instal!ation. <br />Parmit <br />