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City of ErereM <br />Date _—___ <br />Appliancef I No. <br />Convers?on Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves . <br />Ronge Tops — Ovens .'� <br />Furnoces to 400,000 BTUs <br />Furnaces ovcr 400,000 BTUs <br />$poce Heaters to 70,000 BTUs <br />Spacc Heaters ove: 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Drqers 1_ <br />Air Conditioning Units I <br />Pcrmit Fec . . . $ <br />Gas Installation Rerrr °t <br />DEPARTMENT OF PUBIIC WORKS <br />Owner <br />Instalbar. <br />City of Everett, by <br />� <br />Inspection Division <br />—IMPORTANT NOTICE— <br />Ail work must conform to the provisions of the ordinances of the CiTy of <br />Everett, Washington. I t is the responsibility of the Permit Holder to see that <br />City Inspection Division is noti'ied and the installation inspected betore <br />coverinq. <br />Remarks and Corrections: <br />Inspection — Dafe_—_— Mspecror_ <br />Call Back — Date_— Inspector_ <br />Final — Date Inspector_ <br />This Permit must be posted on Job before Starting Instzllation. <br />Permit , <br />