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City of Evemtt <br />Dalc �-• �� �.�-�;<.. . . . <br />--- .'.'�_..�_ <br />APPlionees No. <br />Ccnvcrian Units <br />to 400,000 BiUs � <br />Csnvmsion Units / <br />n�ur 400,000 BTUs <br />Crnkstoves <br />Rangc Tcps—Ovens <br />�_ __ <br />Furnaces to 400,0p0 OTUs ' <br />Fumc<es ovcr 400,000 BTUs <br />Spacc Hcotcrs to 7G,000 BTUs <br />=P��c Hcatcrs ovcr 70,000 BTUs � <br />Refrigemlors � <br />Waicr Heaters <br />I-- — <br />npin9 1 <br />Pl;�e 'n exeess of 60' <br />—___ / —� <br />Clolhes Drycrs � �� <br />Air Cendi�ioning Unils i <br />Pcrmif Pce . . , j <br />�aas Instaliatoon Reran�c <br />DEPARTMENT OF PUBLIC WpRKS <br />Inspr.cfion Division <br />Address , . /;� <br />������ �(`.�� . _ . _ - _ __ _. <br />Owner ' ��UQ �F <br />Installer ���. �, �� <br />, a% <br />City of Everett, by_= ; ___ y f_ %��_--- — <br />—iMooe=nr�r ;,;o�ic�— <br />All work must conform to ihe provisions of the ordinances of the City or <br />Everett, V�/ashington. It is the responsibility of the Permit Holder to see that <br />City Inspection Division is notified and the instailafion inspected before <br />covering, <br />Remarks and Corrections: <br />Inspection — Date.. Inspector <br />Call Back —Date _ Inspectnr _____ <br />Final — Date _____ Inspector <br />This Permit must be posted nn inb before Starting Installation. <br />Permit <br />