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City of Everett <br />Date 4/ ? / <br />Appliances No. <br />Conversion Units —I <br />to 400,000 erns <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 [looters over 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Permit Fee $� <br />vas Installation Permit <br />DEPARTMENT OF PUBLIC WORKS <br />Inspection Division <br />Address <br />Owner — <br />Installer <br />City of E <br />—IMPORTANT tiOrlCc— <br />AII work must conform to the provisi, ns 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 />n <br />Inspection —Dater e ! t,Inspector /<--- C _ <br />Call Back —Date-- Inspector _ <br />Final —Date Inspector _ <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />