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City of Everett <br />Date V /`�/7a <br />i <br />Appliances <br />Conversion Unit; <br />to 400,000 B -, Us <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 />Refrigerators <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />lathes Dryers <br />4ir Conditioning Units <br />'ermit Fee . . . § 40 / <br />�tjas Installation Permit <br />DEPORTMENT OF PUBLIC WORKS <br />Address /l/ f) //y/, <br />Owner f'-1,D 71(lae �I.X2S' <br />Instal <br />City O <br />Inspection Division <br />—IMP0RTANT 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 />Inspection —Date / �y'7? Inspector /r-C t <br />i <br />Call Back — Date <br />. Inspector <br />Final — Date Inspector. <br />This Permit must be posted on Job before Starting Installation. <br />Permit 1A? 2313 <br />