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Gas Installation Permit „ ; I <br /> City of Everett DEPARTMENT OF PUBLIC WORKS � �� � ''I'`:�Slr` ' <br /> �. Oate r! - �-'" � _ �; <br /> aPPi�ances Address �- � � � -� <br /> No. i C, L: ' �+ �/i <br /> Conversron Units � — .. <br /> w 4op.OpO 87Us ,:'j!. L Jwner__�i.��,� (r j• � ; , <br /> Convemon Units <br /> wer 400,000 BTUs Icctaller_ <br /> CoUkSloves /' <br /> f ' ,�l'ti. lJy / l,C C. <br /> Range Tops — p�ens � [ � ____ <br /> F��r����s .o 000,opo oru, — I M P O R T A N T N O T I C E — <br /> Fumaces wer 400,OOo BTUs All work must conform to the <br /> provisions of ihe ordinances of thc City of Everett, <br /> s�ace Hea���n eo 70,000 eiUs Washinyton. it is the rnsponsibility of the Permit Holder to sec that City Impcction <br /> Snace Heau•rs over 70,000 e7Us Division is notified anJ the installation inspected before covering. <br /> FImP�acC Log ' <br /> wai�r �i��arers Hcmarks and Corrections: <br /> Pinint� ?!c` -- — ----- <br /> �i _'_— <br /> Pipe in excess ol �p' --- — __— <br /> Cio�hos or�er Inspec�ion —Date _ Inspector <br /> Art Contliboning Unils - -- <br /> Call Back —Date <br /> go,�i, Inspector <br /> _ Final — Date Inspector <br /> This Permlt riust bc pos�ed on .lob before Starting Installriun � <br /> Permil F-e.n . . . , SW" ' � <br /> _'': Permit � � <br />