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i <br /> �'iaS �IlSta��at1011 �@1'1'1'llt ir�:sr�r_r�nn��� riri�i�>N <br /> City of Everett DEPARTMENT OF PUBLIC WORKS <br /> Date => ' ��� � <br /> APPliances No. Address _ _ .� � ": ���/Go_ I�J :,_: ;�'-j :i <br /> Convcrsion Uni�s �" <br /> to app,000 BTUs OwnCf l_- %`////. 1 � <br /> Canvcrsimi Units InSlaller ,'�I ( � <br /> ovcr 400,000 BTUs <br /> Cookstoves City of EVeretl, by i'�' ' �h�'• - <br /> Range Tops – Ovens <br /> F��r�,��c� �oaoo,000erus — IMPORTANT NOTICE — <br /> Purnaces over 400,00o BTus All work must conform to the provisions of the orclinances of the Ciry of Everett, <br /> Spnce Heaters to 70,OOS BTUs Washington. It is the responsibiliry of the Permit Holder to see that City Inspection <br /> Space Hearors cun -J,000 BTUs Division is notified and the installation inspected before covering. <br /> Fireplacc �og <br /> Wa�cr Heatcrs ! °=- Remarks and Corrections: _ <br /> Piping <br /> Pipe in exttss of �0' <br /> Cio�hes Orv�rs Inspection —Date _ InsPector <br /> Air Contl�tioning Units Call B�ck —Date Inspector__ � <br /> Boilcr <br /> Final — Date Inspector <br /> This Pemiit must be posted on Job before Startin9 Instullation. <br /> Parmit Fec . . . . S �_ .. . . � <br /> �.-:: <br /> Penni[ . , . . <br />