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City of Everett <br />Date <br />Appliances <br />—� <br />No. <br />Conversion Units <br />to 400,000 BTUs <br />I <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops — Ovens <br />Furnaces to 400,o00 OTUs <br />Furnaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />Piping <br />L <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />IN <br />Pe,mit ree . . . $ d O' <br />jas Installation Permit. <br />DEPARTMENT OF PUBLIC WORKS <br />AddressZ <br />Owner <br />Installer A) 6— <br />City of Everett, by <br />Inspection Division <br />—IMPORTANT NOTICE — <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 inspected before <br />covering. <br />Remarks and Corrections:wX%A b rzyr 10`70 /� <br />t`!' :g oc, fn YI J,a l i4 AD j:!111, Su r7y t't r 01. <br />Inspection — Date1�' 7 - 7z- Inspector eQ <br />Call Back — Date _ Inspector <br />Final — Date - �� '- Inspectors 11�• <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />+f,pr• <br />