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i <br />I �I _��6 i�' i � t <br />� <br />� �t� � � <br />��;. <br />City of Evcreit <br />:.., � . <br />Date_ , � � - <br />Applianees __ ___ __I_ No. <br />Convcrsion Units ' <br />to 400,000 BTUs � <br />Comcrsion Units <br />ovcr 400,000 BTUs <br />Cookstoves <br />Rangc Tcps — Ovens <br />Furnoces ro 40P,000 6TUs <br />.-. __. _—_... . . _.._ .�__ .. <br />Furnotts ovcr 400,000 BTUs <br />Spocc Hmtcrs to 70,000 BTUs �-' <br />i- <br />Spacc Hcatcrs ovcr 70,000 BTU; I <br />Rclrigcmtors � <br />Wotcr Hcatcrs <br />Pi�in9 <br />Pipe in ezcess of 60' <br />Ciuihes Drycrs I <br />Air Ccnditioning Unils � <br />Pcrmit Fcc . . . $ ... <br />�as I�nsttalLation Perm�t j <br />DEPARTMENT OF PUBLIC WORKS Inspeclion Division <br />� <br />Address _ � > / ^= /� �/�j -� � �� � : , <br />Owncr_ �/ F� f_= 4i � — - -- - <br />histaller__'�> � <br />1 � ") <br />City of Everett, b � ' <br />Y-^ ' - _ _ <br />—IM�ORT � t-:T `:OTI CE— <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 insper,ted before <br />covering. <br />Remarks and Corrections: <br />Inspection — Date _ Inspector_ <br />Call Back — Date _ Inspector __._ _ <br />Final —Datet_L,�_].L� Ins�ector /"�• C <br />This Permit must be posted on Job before Starting Installation. <br />Permit - <br />