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i <br /> Gas Installation Permit ,;,, ,,�, � ,,�,,, ,,,`,,`,,,�, <br /> City of Everett DEPARTMENT OF PUBLIC WORKS <br /> �. Date t�..� �LI_ _� • ' . . <br /> Appliances tuo. Address�� �/ � %. ;-j`%�. <br /> Conversion Units � ���� �� � <br /> �0 400,000 BTUs Owner <br /> Conversion Uniis Installer �1� �� � <br /> over 40C,000 BTUs , <br /> i <br /> Cooksroves City of Everett, bY ' /` - <br /> Rangi• Taps — Ovens �- � ' <br /> F�r„ac�s ro 400,000 e7u� — I M P O R T A N T N O T I C E — <br /> Furnaces over 400,00o e7us ql� work must conform to the provisions of ihe ordinances of the City oi Everett, <br /> Snacc Hcaters ro 70,000 6TUs Washington. It is the responsibiliry o( the Permit Holder to see that Ci[y Inspection <br /> $pace Heaters aver 70,000 BTUs Division is noti(ied and Ihe installation inspected before covering, <br /> Pireplace Lo�j <br /> Wa�cr Heaters �G<- Remarks and Corrections: __ � <br /> PiPing <br /> Pipc in uxcess of �0' <br /> Ciomes Dr�crs Inspection — Date _ Inspector <br /> nir Conditioning Uni�; Call Back —Date Inspector <br /> 9oiler <br /> Final — Date Inspecror <br /> This Pennit must bc posted on Job before Starting Installation. <br /> Permit Fee . . . . S �. . � � � <br /> Pennit ,. .. ._ �_) <br />