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Ciry of E�aroff <br />Date - __ <br />-�,Gas Installation Per*-it <br />DEPARTMENT OF PUSLIC WORKS <br />AyyIMMn __ Ne. <br />Convenion Units <br />to 400,000 BTUs <br />Conversion Units <br />ovar 400,000 BTUs <br />Cookstoves <br />Ronpe Tops — Ovens <br />Fumoces to 400,000 BTUs <br />Fumaces over 100,000 BTUs <br />Spate Heoters ro 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />RefriOerotors <br />Water Heoten <br />Plpinp i <br />Pipe in excezs of 60' <br />Clathes Dryers <br />Air Conditioninp Unih <br />hnnif Fn . . . S .. _�. � <br />,, <br />_ � <br />Owner ' � <br />� <br />Installer_ � '' � <br />City of Everett, by. <br />_ - -_ _ ----� <br />v I <br />Inspecfion Division <br />—IMPORTANT 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 Inspedion Division is notified and the installation inspected beforo <br />covering. <br />R(e�mparks and Corrections:��� S, aoo 7i � oc% Q/a� <br />`MMwt Ida�w.a.� Q.Qyty,�1, i0�ij <br />Inspectio� —Date_����� Inspector_v���__ <br />Call Back — Date— _— _ Inspecror_______ <br />Final — Date ��' Z �� � Inspecror_���1 <br />This Permit must be posted on Job before Starting Installation. <br />Pl�IIII� . 1 i) �E �, •m�?� <br />l� . ti <br />