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City of Everett <br />Date— _ ._ _ __ <br />Appliances <br />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 70,000 BTUs <br />Space Heaters o,er 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Permit Fee $ <br />Gas Installation Perr-it <br />DEPARTMENT OF PUBLIC WORKb <br />Address - <br />Owner <br />Installer. <br />City of Everett, by <br />FA <br />Inspection Divisior <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. �...,.., 1.,ut' /0• i� bt W c+,w.P_J u..v.CLv�.,w..Q�j...:.. <br />n <br />(Remarks and Corrections: <br />Inspection —Date_j_0-1V Lg Inspector-�'l�'�_._._ <br />Call Back —Date--- Inspector_. �' <br />Final — Date 11 "z 1- G 1 1nspector--e _ <br />This Permit must be posted on Job before Starting Installation. <br />Permit 0MG <br />