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City of Everett <br />Date <br />Appliances: No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <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 />Ref. igerators <br />Water Heater., <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryars <br />Air Conditioning Units <br />Permit Fee $ <br />Gas Installation Perr-;t <br />DEPARTMENT OF PUBLIC WORKS <br />Owner. <br />Instal <br />City of Everett, by. <br />v <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:W LA 2 6)M "Vf I M LA B <br />Inspection —Date_____ Inspector_ — <br />Call Back — Date_ Inspector_ <br />Final — Date (?` a - 6 InspectorQ <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />