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City of Everett <br />Date <br />Appliances No. <br />_ _ <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />w <br />Range Taps —Ovens <br />Furnaces to 400,000 BTUs <br />I_ <br />Furnaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />\Voter Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Permit Fec . . . j <br />Jas Installation Perms. <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address <br />Owner <br />Installer — <br />City of Everett, by <br />—IMPO'tT.A.NT NOTICE— <br />AII 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 />r <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />