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City of ErereM <br />Date i __L:._ _._ <br />ADD�����h Ne. <br />Conversion Units <br />to 400,000 BTUs � <br />Conversion Units <br />ovcr 400,000 BTUs <br />Cooksroves <br />Range Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Fumoces over 400,000 BTUs <br />Space Heatcrs to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />Waler Heoters ' <br />Piping i <br />Pipe in excess of 60' <br />Cbthes Dryers I <br />Air Conditioning Units <br />� <br />P¢rmif Fee . . . j . <br />Gas Installation Perr►-it <br />DEPARTMENT OF PUBLIC WORI�] <br />Address ` <br />.� <br />Owner <br />Installer_'_. <br />City of Everett, by. <br />/;. <br />�- <br />Inspecfion Division <br />—IMPORTANT NOTICE— <br />AIl work must conform to the provisions of the ordinances of the Gity ot <br />Everett, Washington. It is the responsibility of the Permit Holder to sec that ; <br />City Inspection Division is notified and the installation inspected before ! <br />cavering. <br />C <br />Remarks and Corrections �OOiOoo r: lod`�� /� �� (,tl¢(�,,, <br />��SA__Q�� '�l oco 71 i u:`i � t n <br />Inspection —Datele' �`�-� Inspecror_. V'�•�°^�-� _ _ <br />Call Back — Date �O -_ � � - � y Inspector_ �� � �"'-r <br />Final — <br />I nspecror_ <br />This Permit must be posted on Job before Starting Installation. <br />Fermit <br />