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City"if Everett <br />Date -_-- -- -- <br />Appliances No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversicn Units <br />over 400,000 BTUs <br />Cookstaves <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 />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Permit Fee . . . $ <br />Gas Installation Perr-it <br />DEPARTMENT OF PUBLIC WORKS <br />Address <br />Owner ei <br />Installer_. <br />City of Everett, by- <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 />WhAl �oo�_Y1 10,0 n A /0' `0a. f 3 — <br />Inspecticn — Date- _. _-_ Inspector - <br />Call Back — Date_. -__ Inspector- <br />Final — Date /-,? 6 - GY Inspector- I10_' 1- �. <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />