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City of Everett <br />Date — -- - - - -- -.._ <br />Appliances <br />Conversion Units <br />to 400,000 BTUs <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 />Clothes Dryers <br />Air Conditioning Units <br />Permit Fee . . . $ <br />Gas Installation Perr 't <br />DEPARTMENT OF PUBLIC WORKS <br />No. Address -- <br />Owner -- <br />Installer - <br />City of Everett, by. <br />Inspection Division <br />—IMPORTANT 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'_�.��i�fSIpJIJ CT <br />Inspection — Date_ — _ __ Inspector_ <br />Call Back —Date—__— _— Inspector_---_�%--�--- <br />Final — Dat -2 <br />_ _ 10 Inspector-,Qtpe'�'­� <br />This Permit must he posted on Job before Starting Installation. <br />Permit <br />