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City of Everett <br />Date <br />�Y � <br />Gas Installation Pern�it <br />D�PARTMENT OF PUBLIC WORKS <br />Appliances No. <br />Canversion Uni�s <br />to 400,000 BTUs <br />Conversion Units <br />ovcr 400,000 OTUs <br />Cooksroves <br />Rangc Tons — Ovens <br />�,i., <br />FurnacM to 400,000 BTUs —�— ' <br />Furnaces ovcr 400,000 6TUs <br />Space Heaters to 7J,000 BTUs <br />Spac� Heatcrs ovcr 70,000 BTUs <br />Rreplacc Log <br />Water Heaters <br />Piping <br />Pipe in esces5 of 60' <br />f.tuthe; Urycrs <br />Nr Condiiiomng U��its <br />�7odcr <br />p�..mf� Far . . . _ � ' . , <br />��,:5�:-��,��� �_����,-��,����,��, <br />Address ��•�.: � ..Jr�j� _,�..� r��.!I 7 <br />a��_ �-71"" /� I\n/il <br />QWOC� I-� r Y - <br />� (_ <br />Installer_ � '� �� ~ �-- � — <br />CitV o( Evcrett, bY � - <br />- IMPORTANT NOTICE - <br />All work must conform to the provisions of the ordinances o( the Ciry of Everett, <br />Washinqron. !t is the res�onsibility of the Pemiit Holder to sce that City Inspectlon <br />Division is notified ancl the instullation inspected hefore coverin9. <br />Remark5 a�d Cor�ectionti: _ <br />Inspection —Date (/ %L Inspector .B-� ____ <br />Call Back — <br />Inspector <br />f-inal — Date Inspertor <br />This Permil must bc posted on Job befom Starting Installation. <br />i ' .: <br />Pr.tnnt <br />