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Gas Installation Perntit INSPECTION DIVISION <br />City of Everett DEPARTMENT OF PUBLIC WORKS <br />Date <br />Appliances <br />No. <br />Conversion Units <br />to 400,000 Bl Us <br />Conversion Units <br />over 400,000 BTUs <br />Cooksloves <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 />Fireplace Log <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Boiler <br />Permit Fee . . . . ,$ i I�'r_ <br />z.rxi . <br />Adc'ress Y6� /`—� _S <br />Owner_ ..,E <br />City of Everett, by= <br />—IMPORTANT NOTICE — <br />All work must conform to the provisions of the ordinances of the City of Everett, <br />Washington. It is the responsibility of the Permit Holder to see that City Inspection <br />Division is notified and the installation inspected before covering. <br />Re: narks and Corrections: -- <br />Inspection —Date _ Inspector <br />Call Back —Date-- Inspector <br />Final — Date D Inspector_z..e__ <br />This Permit must be posted on Job lwfore Starting Installation. <br />Permit 3021 <br />