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City af E�ereft <br />Date --=E_�- <br />Ayylkncn No. <br />Conversion Units <br />to 400,000 BTUs <br />Convenion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops — Ovens <br />Fumaces to 400,000 BTUs <br />Fumaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs !� <br />Space Heaters over 70,000 BTUs <br />Re(rlgeratara <br />Wcter Heaters <br />°i�ing � <br />Pipe in ezcess of 60' <br />Clothes Dryers <br />Air Conditioninp Units <br />Parmif Fae . . . S � <br />� Gas installation Perrr=t <br />DEPARTMENT OF PUBLIC WORKS <br />Address <br />Owner <br />City of Everett, by. ' � <br />Inspection Division <br />� <br />—IMPORTANT NOTICE— <br />All work must conform to the provisions of the ordinances of the Ciry of <br />Everett, Washington. It is the responsibilih� of the Permit Holder to see that <br />City Inspection Division is notified and The installation inspected be`,oie <br />covering. <br />Remarks and Corrections� �'-�� ����'� 11 LA: /o �4 �d � <br />�` �:.cw-� S -'S� - � 3 <br />Inspection — Date_?-�'Lo �' Inspector_p�--�--- _ <br />Call Back — Date— — InspecMr_. <br />Final —Date — Inspecror___ <br />This Permit must be posted on Job before Starting Installation. <br />Permif <br />