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aas Irostallation Perrr, <br />City of Everc►t DEPARTMENT OF ?UBLIC WORKS Inspection 6ivision <br />Date ______ __ <br />Apptianccf No. <br />Conversit•n Units <br />to 100,ObJ CTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstaves <br />Range Tops — Ovens <br />Furnates to 400,000 BTUs <br />Furnaces over 400,000 BTUs <br />Space Hoaters to 70,000 BTUs <br />Space Heoters over 70,000 BTUs <br />Refrigerolors <br />Water Heaters <br />PiFing <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Permit Fee . . . S <br />Address <br />Owner <br />Installer_ <br />Cih� of Everett, by. <br />—IMPORTANT NOTICE— <br />AII work must :onform to the provisions of the ordinances of the City of <br />Everett, Washington. It is the responsibility of the Permit Holder to see ihat <br />City inspection Division is notified and the installation inspected before <br />covering. <br />Remarks and Correctionr�zr� i����az: 19 Ic�oj� � <br />-b ..- <br />Inspection — Date__ _ Inspecror_ <br />Call Back — Date_ Inspector_ <br />Final —Oafel.�_X�_ Inspectoc.E_/�-Z�-�---- <br />This Permit must be posted on Job before Starting Instailation. <br />Permit <br />