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City of Everett <br />Date i / -) / / � 'l <br />Gas Installation Permit <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 />Range Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces over 400,000 BTUs <br />Spice Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Fireplace Log <br />Water Heaters <br />ni <br />Piping <br />Pipe in excess of BC' <br />Clothes Dryers <br />Air Conditioning Units <br />Boiler <br />I <br />Permit Fee . . . . SJ <br />INSPECTION DIVISION <br />erC/7 0 V d/ feu <br />Installer, � 2,L4 znz, 4E�2ot.0t�e, <br />City of Everett, by ��,, �7� t de <br />—IMPORTANT NOTICE — <br />All work must conform to the provisions of the ordinances of the City of Everett, <br />Washington. It is the responsibility of the Permit Holder to see that City Inspection <br />Division is notified and the installation inspected before covering. <br />Remarks and Correcti <br />Inspection —Date c%InsP ector_ <br />Call Back —Date Inspector <br />Final — Date Inspector <br />This Permit must be posted on Job before Starting Installation. <br />Permit 3 211 <br />