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Gas Installation Permit INSPECTION DIVISION <br />City of Everett DEPARTMENT OF PUBLIC WORKS <br />Date <br />Appliances <br />No. <br />conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops — Ovens <br />J U <br />s <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 JC /DJ <br />Address <br />Owner_ Z/1, <br />Installer ld %. (sir: <br />City of Everett, by <br />— IMPORTANT NOTICE — <br />AII 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 />Remarks and <br />Inspection — Date _ Inspectoor <br />Call Back — Date_ Inspector <br />Final — Date Inspector <br />This Permit must be posted on Job before StartiitigInstallation. 8 Permit 3 2 7 <br />1 <br />I <br />