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�f•y.?of F.vereM <br />Date–� -- _ – --- <br />ApD�iancn No. <br />Conversion Units <br />to J00,000 BTUs <br />Conversian Unitz <br />ovcr 400,000 BTUs <br />Cwksroves <br />Range To�s — Ovens <br />Furnoces to 400,000 BTUs <br />Furnaces over 400,000 BTUs <br />Space Hcater; �0 70,000 BTUs <br />Spoce Heatcrs ovrt 70,000 6TUs <br />Rc(riQemtors <br />Woter Heotc , <br />Piping <br />Pipe in ezcess of 60' <br />Cbthes Drycrs �_ <br />Air Conditioning Units I <br />Permit Fce . . . j <br />Grs Installation Perr-�t <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address <br />Owner_ <br />I nsta l le r_ <br />City of Everett, by. <br />. <br />'�. <br />—IMPORTANT NOTIC�— <br />All work must conform to the provisions of the ordinances of the Ci!y ot <br />Everett, \Vashington. It is the responsibiliiy of the Peimii Holder to sce that <br />City Inspection Division is notified and ;he installation inspected beFore <br />covering. <br />Remarks and Corrections ______� <br />.��" b 1 fTtrf1 � 1 OO/n�QK __. <br />Inspection — Date_ _ Inspector <br />Call Back —Date— Ins�;�r:or_ ______ __. <br />Final — Date�� G Inspector_4o_-u.��r-�?�•+-��--� <br />This Permit must be posted on �nb before Starting Installation. <br />Permit <br />x <br />