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Ciry of Evercrt <br />Date <br />Gas Ir�stal9�teora Pea�s�e� <br />DEPARTAAEnT OF PUBLlC WORI(S <br />Addres: <br />Owner_ <br />Installer � <br />City of Everett, by_ _ <br />✓� <br />Inspeetion Qivision <br />--l1s1?03Tl:?:T tiOiIC'c— <br />All work must conform io th_ provisions of the ordinances of the City of <br />Everntt, Wash�i�gton. It is the responsibility of the Permit Holder to see that <br />City Inspectien Division is notified and the installation inspected befom <br />covering. <br />Remarks and Correetions: -� `i��lTU Jl r� -' �.�F <br />, _ <br />=Y�'.�L�c'�I _ir7?JZ/�a �%a r'� �__._._ — <br />Inspection — Date�— S' 7 L Inspector_. /J.-% <br />Call 8ack — Date _ Inspector <br />Final — Date _ Inspector <br />This Permit must be pos�ed on Job before Starting Installation. <br />Permit <br />