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City of <br />/ r Date f <br />Appliances <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 />Refrigerelors <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Pcrmit Fee . . . $ / <br />,vjas Installation Perms, <br />DEPARTMENT OF PUBLIC WORKS <br />No. Address <br />Owner._ <br />Installer <br />City of E <br />/zC--/f � <br />Inspe-ction Division <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 />Inspect+on — Date____ Inspector _. <br />Call Back — Date _ Inspector <br />Final — Date _L�, i(i/ -iL Inspector- K-. Q <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />