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City of Everett <br />Date __ ._ — -- <br />Appliances No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops —Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces over 400,000 BTUs <br />space Heaters to /0,000 BTUs <br />Space Heaters over 70, 000 BTUs <br />I Water Heaters I . I <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Permit Fee . . . $ <br />aas Installation Perm ✓ <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address ) /f P e <br />Owner ILt.Ylcz.=4-9R� <br />Installer__i' <br />City of Everett, by. <br />—IMPORTANT NOTICE — <br />All 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. <br />Remarks and Corrections: <br />Inspection —Date-.---- Inspector_ <br />Call Back — Date_ Inspector_ <br />Final — Date Inspector_. <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />