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City of Everett <br />Date ---.--- <br />pppliances No. <br />Convenion Units <br />to 40C,000 BTUs <br />Convercion Units <br />over 400,000 BTUs <br />Caokstoves <br />Ronge 7ops — Ovens <br />Furnaces to 400,000 BTUs <br />Furnoces over 400,000 BTUs <br />Spoce Heoters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerutors <br />Worer Heotcrs <br />Pipinp <br />Pipe in excess of 60' <br />Ciothes Dryers <br />Air Conditianin9 Units <br />Permif Fee . . . s . <br />Gas Instailation Perm�+- <br />DEPARTM:NT OF PUBLIC WORKS Inspection Division <br />Owner <br />Installer. <br />City of Everett, <br />—IMPORTANT NOTICE— <br />AIl work must conform to the orovisions 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 Correctio:�s: <br />Inspection — <br />Inspector <br />Call Back — Date_ Inspector_ <br />Final — Date Inspector__— <br />This Permit must be posted on Job before Starting Installation. <br />Parmit <br />