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%ias Installation Fermat <br />City of Everett DEPARTMENT OF FUBLIC WORKS <br />Date <br />7_ 7 <br />Appliances I_ <br />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 />Furnoces over 400,000 BTUs <br />Spoce 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 />7 <br />Permit Fer. s �. V <br />Inspection Division <br />Address tLY <br />Owner I =o <br />Installer�r <br />City of Everett, by <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: ° n" �. <br />Inspection — Date Inspector <br />Call Back — Date Inspector <br />Final — Date y —ate , t Inspector c' <br />This Permit must be posted on Job before Starting Installation. <br />Permit f r t QJ <br />