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City of Everett <br />Date <br />i <br />Gas Installation Permit <br />DEPARTMENT OF PUBLIC WORKS <br />Appliances <br />No. <br />Conversion Units <br />to 400.000 3TUs <br />Conversiot Units <br />over 400,(100 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 B'rUs <br />Space Heaters over 70,000 BTI;, <br />Fireplace Log <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Boiler <br />A <br />0 <br />Permit Fee . . . . $ / <br />Address �� Y <br />Owner V)Rr'I,'fJ(pZYJOLL16I?- <br />Installer�1�1El1r' Y CO <br />City of Everett, by <br />`1• <br />j <br />INSPECTIODIVIS10. i <br />c_ <br />—IMPORTANT NOTICE — <br />All work must conform to the provisions of the ordinances of the City of Everett, <br />Washington. It is the responsibility of the Permit Holder to see that City Inspection <br />Division is notified and the installation inspected before covering. <br />Remarks and Corrections: <br />Inspection —Date__ Inspector_ <br />Call Back — Date Inspector_ <br />Final — Date Inspector_ <br />This Permit must be posted on Job before Starting Installation. <br />Permit 3263 <br />