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City of Everett <br />Date_ <br />Appliances <br />Conversion Units —� <br />to 400,000 BTUs <br />Nn. <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 />jas Installation Perm c. <br />DEPARTMENT OF PUBLIC WORKS <br />Address <br />Owner_ 7 .'fi(,/ <br />Installer <br />City of Everett, by_ !•-' <br />./ <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: <br />Inspection — Date Inspector_ __ <br />Call Back — Date _ Inspector _ <br />Final —Date f r ' 7i Inspector K'G <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />