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City of Everett <br />,--� <br />Gas Installation p�r�n�it <br />DEPARTMENT OF PUBLIC WORKS <br />Appliances No. <br />Conversion Uniis <br />to 400,000 BTUs ,_ <br />Convcrsion Units <br />ovcr 400,000 BTUs <br />Cookstoves <br />Rar9e Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces ovcr 400,000 BTU� <br />Spacc Hcatcrs ro 70,000 BTUs <br />Spaze Heaters ovcr 70,OOC BTUs <br />Fireplacc Lo9 <br />Watcr Hcatcrs <br />Piping — <br />Pipe in camss of GO' <br />Clothes Dryers <br />Air Conditionin9 Units <br />�oilcr <br />Permit Fee . . . . � � - <br />Address �-1+.�.' ���r.�' <br />Owner .• ji'-i'/ �':�i�� /..:�.i. . . <br />Installer � <br />Ciry of Everett, 6y__ <br />-IMPORTANT NOTICE- <br />All work must conform to the prov�sions of the ordinances of the City of Everett, <br />Washington. It is the responsibility cf the Pernit Holder ro see that City Inspr.ction <br />Division i> notified and the installation inspected before coveriny. <br />Remarks and Corrections: <br />Inspection — Date Inspector <br />Call Back — Da[c Inspec[or <br />Final — Date Insper.tor <br />This Permit musr 6a Nosted on Job before SWrtin9 Installation. <br />�, ��� <br />Permit _ . _ . <br />