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City of Everett <br />Dare /'(�1 .1� • _ ,., .:_r� <br />Gas Installation Permit <br />DEPARTMENT OF PUBLIC WORKS <br />Appliancei No. <br />Conversion Units <br />to 400,000 BTUs <br />Convcrsion Units <br />o�e. aoo,000 oru: <br />Cooksloves <br />Rangc Tops — Ovens <br />Fumaces to 400,000 BTUs <br />Furnaces ovcr 400,000 BTUs <br />Space Hcalcrs to 70,000 BTUs <br />Space Hcaters over 70,000 6TUs <br />Fireplacc Lo9 <br />Water Hcaters ! <br />PiPing <br />Pipe m exress ol GO' <br />clathes Drycrs <br />Air ConAitionin9 Units <br />[3oiler <br />r <br />Permit Fec . . . . �' i , <br />i , <br />Address �'� � �� � �'� � � <br />�; /J `// /// <br />Owner f r�/,�,C �-�7' �J/`Y <br />InsWller ✓�' �. � <br />—� — ;_ <br />City o( Everett, by � �- �� /�.- i� ?' � <br />u <br />i; <br />�r;��,F�rcTin�v oivi,��.i�;�: <br />—IMPORTANT NOTICE— <br />All work must conform to the provisions of �he ordinances of the Ciry ot Everett, <br />1Nashin9ton. It is the responsibility of the Permit Holder to see that Ciry Inspection <br />Division is notified and the installstion inspected before covering. <br />Rr.marks and Cormctions: <br />�I15�)CCU00 — <br />Call Back — <br />Final — <br />Date Inspector <br />Date _ Inspcctor <br />Date Inspecror <br />Tliis Pemiit must be posted on Job 6e(ore Starting Installation. <br />Pcrmit ,` � `� � <br />