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City of Everett <br />Date /? ri <br />Appliances No. <br />-jl- <br />Conversion Units — <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops —Ovens <br />Furnaces tit4woo0 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 />j <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Ccnditioning Units <br />Permit Fee . . . $ <br />das Installation Pern._ . <br />DEPARTMENT OF PUBLIC WORKS <br />Inspection Division <br />Address -_ U� I '.•7//��F� <br />Owner- <br />Installer—" <br />City of Everett, <br />—IMPORTANT NOTICc— <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 <br />LOaCQ Qb <br />VAl"' i' ) '/ 6 <br />L <br />Inspection — Date f- l6 - 72- Inspector /60- <br />Call Back — Date _ Inspector <br />Final — Date Inspector <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />t <br />