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� <br /> Gas Installa#ion Perm'` <br /> City of EvereM <br /> DEPARTMENT OF PUBLIC WORKS Inspection Division <br /> Date - - - �- <br /> App�b��n Ne. Address <br /> , -��;�. , ✓ <br /> Conveaion Units Owner - <br /> � to 400,000 BTUs <br /> Convers�on Units Installer <br /> ' over 400,000 BTUs ;'-� .�. <br /> Cookstoves City of Everett, by. <br /> Range Tops—Ovens <br /> � Furnaces to 400,000 BTUs <br /> —IMPORTANT NOTICE— <br /> Fumaces over ao0,o0o B7Us Everett Washingtonorlt s�theeresponsibility of the Perm tCHoldertto see that <br /> 5poce Hearers to 70,000 BTUs City Inspection Division is notified and the installation inspected before <br /> � $pace Hearcrs aver 70,000 BTUs COve�ing. � <br /> � Refriqemtors <br /> Remarks and Corrections:. <br /> Woter Heaters <br /> Pipinfl <br /> , pipe in excess of 60' Ins ecto�_--- — <br /> Inspection —Date_----— P <br /> Clathes Dryen <br /> � Alr Conditionin9 Units <br /> Call Back —Date_ Inspector_ <br /> Final —Date Inspector__— <br /> This Permit must be posted on Job before Starting Installation. <br /> s . Permif <br /> ParmR Fce • • <br />