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City of EvereM <br />Date__ �=- - - - -- - <br />Appliancn No. <br />Conversion Unih <br />to 400,000 6TU; <br />Co�version Units <br />over d00,000 BTUs <br />Cookstoves <br />Range 1'ops — Ovens <br />Furnaces to A�0,000 BTUs <br />F�imaces over 400,000 BTUs <br />Spoce Heaters to 70,000 BT!Js � <br />Space Heoters ovcr 70,000 05�U, <br />Refrigerotors <br />�,:'otor Hcaters <br />PipinS <br />Pipe in excess o' 60' <br />Cimhes Dryers <br />Air Conditioning Units <br />Permil Fee . . . $ � � <br />',as Ins�allation perrt�' �'� <br />; <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address <br />��. <br />Owner <br />�n5td� <br />City of Everett, b,�. <br />--IM:�ORTANT NOTICE— <br />All work must confurm b the pro�iyiuns of the ordinances of the City of <br />[verett, Washington. It is the respons�bility of the Permit Holder to see that <br />City Inspection Div%sion is notified an� the installation inspected before <br />covering <br />f2amarks and Corrections:-tLQ-� � ���f1a�i1oJ7 7� <br />Inspection —Date__.___— Inspector_ __._— __ <br />Cail Dack — Date_ — Insp:ctor_ _ <br />Final —Date �/2�' �! Insp��tor_'�_(�' __ <br />This Permit must be posted on Job before Starting InsTallation. <br />Pe�mit <br />