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Cify of Everett <br />� <br />Date_ �� "� � %- - - <br />ApPlianccs <br />---- --�- No. <br />Convcrsion Units � <br />to 400,000 BTUs i <br />Conversion Units <br />- - ---� - � <br />ovcr 400,000 BTUs <br />Cookstoves <br />Ran�c Tcps — Ovens <br />Furnaces to dOp.ppp OTUs � <br />Fumaccs ovcr 400,000 BTUs <br />-------! <br />Spacc Hcoters ta 70,000 DTUs <br />Snacc Hcatcrs over 70,000 BTUs <br />Rclrigcratcrs <br />\Yatcr Hmt.rs -I� <br />Piping <br />Pipe in excess of 60' � <br />Clolhes Dryers I <br />Air Cenditioning Units � <br />Pcrmit Fcc . . . 5 <br />Gas Insfalla4ion Perm�t <br />DEPARTMENT OF PUBLIC WORKS <br />Address <br />Owner <br />Installer <br />�.i_ , <br />- i�_ <br />� � `♦ O <br />/iGfJ_ ._ <br />�nspection Division <br />Cityof Everett, by,_ _ _�_� �E'� __ <br />—IM?ORTAttT `<p71CL— <br />_ All work must conform to the provisions of the ordinances of the City of <br />_ Everett, Washington. It is the responsibility of fhe Permit Holder to see that <br />City Inspection Division is notified and ihe installation inspected before <br />— covering. <br />Remarks and Correcticns:�l��� � �, �'7D (�;(�j app '��� � ���" ✓1_ <br />Inspection — Date Inspecfor <br />Call Back — Date _ Inspecror <br />Final — Date � - zy=_� Z-Inspectorti +p• <br />!- I This Permit must be posted on Job before Starting Installation. <br />J Permit R ; / <br />� - <br />