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City of Everett <br />Date �% Z <br />Appliances No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />p0 <br />/fln— <br />Cookstoves <br />Range Tops —Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />oe <br />Piping <br />3� <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Permit Fee . . . S <br />jas Installation Permicc <br />DEPARTMENT OF PI1BL!C WORKS <br />Addre <br />Owner <br />Installt <br />City of <br />Inspection Division <br />—IMPORTANT NOTICE — <br />All work must conform to 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 />InspXtio � — Date zs 73 <br />Call Back — Date <br />- <br />Inspector <br />Inspector <br />Final — Date Inspector <br />This Permit must be posted on Job before Starting Installation. <br />Permit I I�Q5'� <br />