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City of EreveM <br />Date— – _ – -- <br />Appliancn � No. <br />Conversion Units <br />to 400,000 BTUs <br />Comersion Units <br />over 400,000 BTUs <br />Cookstoves <br />Ronge Tops — Ovens <br />Furnoces to 400,000 UTUs <br />furnaces over 400,000 BTI�s <br />Space Heaters ro 70,000 BTUs <br />Spote Heatcrs aver 70,C00 BTUs <br />Ref rigerators <br />Waler Heoters <br />Piping <br />Pipe in excess of 60' <br />Clathes Dryers <br />Air Gonditioning Units I <br />Permit Fee . . . S <br />�as Installatioro Perrr'� <br />DEPARTMENT OF PU4LIC WORKS <br />Owner <br />Instal <br />City of Everett, by <br />� <br />Inspection Division <br />—IMPQRTANT NOTICE— <br />AIl work must conform to the previsions of the ordinances of the City o} <br />Everett, Washington. It is the responsibility of the Permit Holder to see that <br />C?ty Inspection Division is notified and the installation inspected befo�e <br />CGVCflllp. <br />Rcmarks and <br />a� � <br />a. n r�n �l' /�' °/e .� <br />Inspection —Datex�L!� Inspector_�'✓. .��"'T��_ _ <br />Call Back — Date— Inspector__ <br />Final — Date L � � a - � � Inspecror_i_�/ •(----_i�>� <br />This Permit must be posted on Jol> be`.:;e Starting Installation. <br />P¢rmit <br />