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City of Everett <br />—' i �� <br />Date- " – <br />Appliances No. <br />--- I-- <br />ConvCrSion Units <br />10 4�D�a�a 4T�5 <br />Comersion Units � _ <br />ovcr 400,000 BTUs �L_ <br />Cooksroves <br />Ron9c Tcps — Ovcns _ _ <br />Fumaces to AOp.CCO OTUs ' <br />Furncccs ovcr 400,000 6TU5 <br />Spocc Hcatcrs to 70,000 BTUs <br />Spacc Hcalcrs ovcr 70,000 6TUs <br />'�Voter Hcaicrs <br />—.----- <br />Piping <br />Pi{+c in excess of 60' <br />Clothes orycrs <br />Air Ca�di�ionin9 Unils <br />�as Installation Peren.� <br />DEPARTMENT OF PUBLIC WORKS <br />Inspection Division <br />; _ ; <br />Address _. - " - - <br />- - <br />Owner_ '� '`� /'' - <br />, ; '/ <br />. I� "T "� /� ��=f �� <br />Installer <br />City of Everett, by <br />�?�= —i��oo4rr.�ir tio�ic�— <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 Holde� ro see that <br />— City Inspection Division is notified and the installation inspected before <br />_— covering. <br />S �,. <br />Pcrmit Fcc . . • -� <br />Remarks and Corrections: <br />�'i�i � 3lnspecror �� <br />Inspection — Date <br />� <br />Call Back — Date _ Inspector <br />Final — Date- — Inspector <br />This Permit must be postel on Job before Starting Installaii�r. <br />Pcrmit <br />