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City of Everett <br />Date_ <br />Appliances No. <br />Conversion Units f <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops — Ovens <br />Furnaces to 400,000 OTUs <br />Furnaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />Woter Heaters <br />T <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Permit Fee . . . <br />Gas Installation Perm.t <br />DEPARTMENT OF PUBLIC WORKS <br />Addre <br />Owner <br />Install( <br />Clty of <br />Inspection Division <br />—IMP0RTANT N0TICc'-- <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._ Inspector <br />Call Back —Date._ Inspector _ <br />Final — Date _ Inspector _ <br />This Permit must be posted on Job before Starting Installation. <br />Permit f"Q69 <br />