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City of Ererett <br />Date_ ' — -' -,� <br />APPlionccs i No. <br />Convcrsion Units —�--�_�--I- — <br />ro 400,000 DTUs <br />Comersion Units <br />ovcr 400,000 BTUs <br />Cookstoves <br />Rongc Tcps — Ovens <br />F;�moces te 400,l1p0 OTUs <br />Furnaces ovcr 400,000 6TU5 <br />Spacc Hcolcrs l0 70,000 BTUs <br />Space Hcatcrs over 70,000 BTUs <br />�_ <br />Refric�cmtors <br />\Valcr Hect_rs <br />---__ <br />Pipin9 <br />FiPc in exccss of 60' <br />Clothes Dryers I <br />Air Condilioning Units � <br />Petmif Fcc . , , 5 ' . . <br />T <br />Gas Installation Perm.t <br />DEPARTMENT OF PUBLIC WORKS <br />Inspecfion Division <br />Address ' �> . j ,� •' i. �'- <br />�j <br />„ i � ..___-- <br />Owner /`'- /.J'. <br />--��—/�—_ <br />Installer � > /`' T/,! � �,�_ ,✓ �,C� <br />City of Evereft, by_ ' � <br />— —!?aPORTAt:T tiOiIC.�— <br />_ AIl work must conform to the provisions of the ordinances of the City of <br />_ Evemtt, Washington. It is the msponsibility of the Permit Holder to see that <br />City Inspection Division is nofified and the installafion inspected before <br />— covering. <br />Remarks and Corrections:.___ <br />� <br />Inspection —Date �/� /?��� Inspector -em� <br />Call Back — Date _ Inspector _ <br />Final — Date <br />This Pennit must be posted on Job before Starting Installation. <br />Permit <br />��� <br />