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Ciiy of Everett <br />Date � , . __ . .- �� .. <br />CiaS �t1St8��atlOtl P@1'llllt i��-;i-�r;ii,_r,�,� nivisi�.��i <br />DEPARTMENT OF PUBLIC WORKS <br />Appliances Na. <br />Canwrsion Uni�s <br />to A00,000 OTUs <br />Conversion Uni[s <br />ovcr 400,000 OTUs <br />CooAstoves <br />Range Taps — Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces ovcr 400,000 BTUz <br />Space Heatcrs to 70,000 BTUs <br />Spacc Hea�ers over 70,000 BTUs <br />Flreplace Lag <br />Watcr Heatcrs � - <br />Piping <br />Pipe in excess of 60' <br />Clothes Drycn <br />Air Conditionin9 U��its <br />Boiier <br />Pennit Fuc . . . . S ' �' � <br />` `,- , <br />Address_. .__ ' <br />� '. <br />! <br />Owner �'' lJf✓TL'"�f/'rC<% <br />� <br />In:taller � �- �i��� �:�!fG�s Ci �"' <br />. \ i. <br />City of EVerCll. by - ' <br />— ivIPORTANT NOTICE — <br />All work must conform to the provisions o( the ordinances of the Ciry of Everett, <br />Washin9ron. It is the responsibility of the Permit Holder to see that Ciry Inspection <br />Division is notified and the installation inspected before covering. <br />Remarks and Carrections: <br />Inspection — Date _ Inspector <br />Call Back — Date <br />Final — Date <br />�OS�CC[of <br />If15(1CCIUf <br />This Permit must be posted on Job 6efore Starting Installation. <br />� <br />� <br />Permit J � <br />