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City of Everett <br />Date— - - - -- - <br />Applionces No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />IPermit Fw $ <br />Gas Installation Perrr't <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address <br />/ f <br />Owner <br />City of Everett, by. <br />—IMPORTANT NOTICE <br />All work must conform to the provisions of the ordinances of the City of <br />Everett, Washington. It is the responsibility of the Permit Holder to see that <br />City Inspection Division is notified and the installation inspected before <br />covering. <br />Remarks and Corrections: <br />Inspection — Date- _ _— — Inspector- - <br />Call Back — Date_-_ -_ Inspector_ <br />Final — Date Inspector - <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />1 <br />