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City, of Everett <br />��, <br />Date - <br />ApD��ances No. <br />Ccnversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,900 BTUs <br />Cookstoves <br />Ronge Tops — Ovcns <br />Furnoces to 400,000 BTUs <br />Furnaces over 400,000 �TUs <br />Space Heaters to 70,000 BTUs <br />Space Hcaters over 70,000 BTUs <br />Re(rigerators <br />Water Heoters <br />Piping <br />Pipe in excess of 60' <br />Ciothes Dryers I <br />Air Conditlonin9 Units <br />Permif Fec . . . $ <br />�'ias Installation Pe��*-a} <br />DEPARTMENT OF PUBLIC WGRKS <br />Owner <br />Installer_ <br />City of Everett, by <br />/ <br />Inspecfion 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 and the installation inspected before <br />covering. <br />Remarks and Corrections: <br />I,�12�iL ./fS,ceo }-� �ao'/� A/n�- Lsa�h,�¢�,,� Gs,aoc n �ocy <br />�1f17CCN-v.. Q..�" f.ra.a� <br />� <br />Inspection —Cdte_______ Inspector__._______ <br />Call Back — Date__ Inspector_ —__ _ <br />Final — Date—z' �- `�' Inspectoc � =![-i��<- <br />Tfiis Permit must be posted on Job before Starting Installation. <br />Permit <br />