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' City of Everett <br />, �._ - , <br />Date �-l.��.._ .- ;.i,: <br />Gas Installation pe�mit INSPECTION DIVISIOf� <br />DEPARTMENT OF PUBLIC WORKS <br />Appliances No. <br />Convcrsion Units <br />m 400,000 �TUs ( <br />Comersion Units <br />over 400,000 BTUs <br />rook5tove5 <br />Range Tops — Ovens <br />Fumaces ta 400 000 BTUs <br />Furnaces ovcr 400,000 BTUs <br />Space Heaters to 70,000 BiUs <br />Space Heaters over 70,000 BTUs <br />Firenlacn Log <br />Water Hea�ers <br />Piping � (j�. <br />Pipe in excess of 60' <br />Ciothes Drycrs <br />Nir Conditioning Unrts <br />eoiler <br />Pemii[ Fee . . . . �'j �� <br />it <br />l <br />�jZ,�/, , E -� ;, .i <br />Address �� O 7' Q�% � ; �-.�i'. <br />,/ �/� A/� /7 �. y'� <br />Owr�er ��. ,(✓i�/i (/r`L�w fC_�-� <br />I nstaller ,q .: (�.`�- ��""�� <br />City of Everett, <br />- IMPORTANT NOTICE - <br />All wark must conform to the provisions of the ordinances of the City of Fverett, <br />Washin9ton. It is the responsibility of the Permit Holder to see that City Inspec[ion <br />Division is no[ified and the installation inspected 6efore wverin9. <br />Remarks and Correcti <br />Inspection — Date <br />Call Back — Date <br />Final — Da[e <br />Inspector <br />Inspector <br />This Pennit must be posted on Job 6efore Starting Installation. <br />Permit 3 4 4 :1 <br />s <br />