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City of Everett <br />Date � - •Lu - - - <br />Appliances No. <br />Conversion Units <br />to 400,000 BTU% <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 />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />I Permit Fee . . . $ J <br />ias Installation Perir'4 <br />DEPARTMENT OF PUBLIC WORKS <br />Address <br />Owner- <br />Installer - <br />City of Everett, by <br />Inspection Division <br />V <br />—IMPORTANT NOTICE — <br />All work must conform to the provisions of the ordinances of the City of <br />Everett, Washington. It is the responsih.lity of the Permit Holder to see that <br />City Inspection Division is notified :ind the installation inspected before <br />covering. <br />Remarks and Corrections: <br />Inspection — Date _ Inspector- <br />Call Back — Date__ _ Inspector- <br />Final — Date I l - Inspector_ <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />1 <br />