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Ci4- of Everett <br />Date� ---- - - - _- <br />Appliancss No. <br />Comersion Units <br />to 400,000 BTUs <br />Converzion Units <br />ovcr 400,000 BTUs <br />Cookstoves <br />Ronge Tops — Orcns <br />Furnates to 400,000 BTUs <br />Furnaces over 400,000 PT�U. <br />Space Heatcrs to 70,000 BTUs <br />Spoce Heo:ers over 70,000 OTUs <br />Refrigerotors <br />Woter Hwters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers I <br />hir Conditioning Units <br />Permil Fee . . . ; . . <br />Gas Installation Perr-�t <br />DEPARTMENT OF PUBLIC WORKJ <br />Address <br />Owner <br />Installer_. <br />City of Everett, by <br />J <br />Inspecfion Division <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 tP�at <br />City Inspection Division is notified and The installation inspected before <br />covering. <br />Remarks and Corrections: <br />�x. �'�h - 2 o�e o 0 71 1�o% 13. �`.�_iA_ � t�} (�w,v.. <br />A <br />CS+u.+.►7. t � 1 <br />Inspection —Date_______ Inspecror. __.___ __ __ <br />Call Back —Date__ Inspector_ -__ <br />Fina� — Date_L- zz • G� Inspector__�� ��`'� <br />This Permit must be posted on Job betore Starting Instzllation. <br />Fennlf <br />� <br />