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City of Evcrett <br />Date <br />Gp� Installati�n Psrn.�t <br />DFPARTMEN�' OF PUBLIC WORKS' <br />qppliances No. <br />Convcrsion Units <br />to AOO,OCO BTUs � <br />Convefsion Units <br />over 400,000 BTUs <br />Cooksroves <br />Ran�c Taps — Ovens <br />Furnaces to 400,000 BTUs <br />Fwnaws cvcr 400,000 BTUs <br />Spacc Heatcre ro 70,000 BTUs <br />Space l learers over 70,000 BTUs <br />Firepl.+cc Lo9 <br />Wamr Heatcrs <br />Pipin9 �`. � <br />Pipe in exeess of GO' I <br />clocnes Drycrs <br />Air Canditioning Units <br />6oiler <br />Pennli Fee . . . • CJ � <br />AdJ <br />Owner . � - .. �� 1,� l ,l_P <br />A � / �� <br />Installer '� � ( =�''� -- <br />City ai Everett, by � --� — <br />� ���.;;��i��r� nn�isiu�>_ <br />-IMPORTANT NOTICE- <br />AII work must conform to the provisions of the ordinances of ihe City of Everatt, <br />Washin9ton. It is the re;ponsibility of the Permit Holder to see that City Inspection <br />Division is notified and the installation inspected before covering. <br />Renmrks and Corrections: <br />Inspection — Date _ Inspector <br />Call Back — Date Inspector <br />Final — Date Inspector <br />(J4 <br />This Permit must be posted on Job before Smrtin� Instaliation. <br />�� ��,_ <br />PCf�tllt • . - _ . `� <br />