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City of EverMt <br />,-, <br />Oate_ S+; �, ) - j _�' <br />Appliances __ _ __�_ No. <br />Conversion UnitS �' <br />to 400,000 BTUs <br />Convcrsian Units <br />ovcr 400,000 6TUs <br />Cookstoves <br />Rongc Tcps — Ovens J_ <br />Furnaces to ann,noo 6TUs Gv <br />. _. _. �_..— <br />Furnaces ovcr 4Q0,000 BTU- <br />Spocc Hwtcrs tc 70,000 BTUs <br />)nacc Heatcrs o;r.r 70,000 �TUs <br />Refri9cmtors <br />Water Heatcrs <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers I <br />Air Ccnditionin9 Units I <br />I <br />5 '• , %"� " <br />Pcrmit Fcc . . . � <br />aas Snstallation Per�rio.: <br />CEFARTMENT OF PUBLIC WORKS Inspecrion Division <br />Addrers i > -i¢ ? �_G��':S7" � � _. <br />Owner <br />Installer <br />City of Everett, <br />—l��I?OR^r.^.?';r t�OTIC'c— <br />AIl work must confo: m to the provisions of the ordinances of the City of <br />Everett, Washington. .t 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 Correcnons: <br />Ins�r.� riun —C.�te Inspector <br />Call Back — Date _ Inspector <br />Final — Date _ Inspector <br />This Permit must be oosted on Job before Starting Installation. <br />Permit '` c'' �'� <br />