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� <br />City of ErereM <br />Date�/ � Z <br />� <br />tias Installation Perm�t <br />DEPARTMENT OF PUBLIC N/ORKS <br />Apyl(ances _____�_ No. <br />Comcrsion Units � <br />to 400,000 BTUs <br />Conversion�Units <br />ovcr 400,000 BTUs <br />Caoksfoves <br />Rangc Taps — Ovcns � <br />Fumotes ro 400,000 OTUs � <br />Furnoces over 400,000 BTUs � <br />Space Hcaters ro 70,000 BTUs <br />Spocc Hcatcrs ovcr 70.000 BTUs <br />Refrig[mtnrs <br />`.Vatcr Hccrcrs � <br />Piping <br />Pipe in excess af 60' <br />Clothes Dryers I <br />Air CondiNonin9 Units I <br />�-- <br />� go <br />� P�nnit Fea . . . S , <br />Address _f �% '> f '� '�= h�L !7i(!l� <br />/ .; <br />Owner _ E� /�.,;(,/i1/-�/� `r <br />Installer <br />City of E <br />� <br />Insp�ction Divisioe <br />x <br />—IM?ORTA�lT NOTICE— <br />AIl 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. i <br />Remarks and Correr.tions: <br />Inspection — Date Inspecfor <br />Call Back — Date _ Inspector <br />Final — Date Insper.tor <br />This Permit must be posted on Job before Starting InstallaTion. <br />Permit � '' ° ��j�j'� <br />