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City oF Everett <br />D�te <br />Applianees No. <br />_ _ _I_ _ <br />Camcrsion Uni}s <br />to 400,000 f3TUs <br />Convcrsion Units <br />ovcr 400,000 BTUs <br />Cooksroves _ <br />Rangc Taps — Ovens <br />Furn�ces to ann oeo 6TUs � � <br />Furnaees ovcr 400,000 BTUs <br />Space Hcatcrs to 70,000 BTUs <br />Snocc Hcaters over 70,000 BTUs <br />Refrigcmtors � <br />Walcr Hcoters <br />Piping � <br />Pipe in excess of 60' <br />Clothes Dryers <br />ilir Conditioninc� Units — <br />Pcrmit Fcc . . . $ <br />=aas �nst��La#aora Pera��� <br />DEPARIMCNT OF PUELiC WORKS Inspection Division <br />i <br />Address � `���i•'�i'/:,�%i�•. <br />ii/ "i <br />Owner. - � — <br />. � < G• f <br />Installer <br />L/. ' ,' ;! i.7 �`��i <br />City of Everett, by_ � , <br />—I M �O RTA iJT ti� 1 ��.G— <br />All work must conform tc 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 />fnspection — Date Inspector <br />Call Back — Date _ Inspector <br />Final — Date_ Inspector. <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />