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tl <br />City of Evaraff <br />% _, � � , <br />Date c --- -� -- <br />Convenion Units <br />ro 400,00o erUs <br />Conversion Unih <br />wer 400,000 BTUs <br />Cookstoves <br />Ranqe Tops — Ovens <br />Fumaces to 400,000 BTUs <br />Fumaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Spoce Heaters over 70,000 BTUs <br />Refriyerators <br />Water Heoters <br />Pivinp <br />Pipe In excas of 60' <br />Clethes Dryers <br />Air Corditlminp Unlh <br />Gas Installation Perm�t <br />DEPARTMENT Of PUlLIC WORKS Inspection Division <br />No. nddress / tY .� J . `'�'- _ . "_'`��� <br />— � / <br />Owner �. _� ,_ �. ,�.� :-�, .r7 <br />0 <br />;j n' <br />Installer_ !' - <br />.'� � <br />i <br />City of Everett, by. _' � =��� <br />—!MPORTANT NOTICE— <br />AIl work must conform to the provisions of the ordinances of the City of <br />Everett, Washinc,ton. 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: �� �-'+� - �'�'�• ��q n/00%, <br />� a�.�. � <br />Inspection — Date_--_ Inspector_ <br />Call Back —Date— Inspector__— <br />Final — Date - � � � I�specror �• ��d�`� <br />I This Permit must be posted on Job before Starting Installation. <br />hrwh Fa� . . . S � - ' Pann$ .� . �l�'�� <br />� <br />