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City of Everett <br />Date / 'y -- <br />Appliances <br />Conversion Units <br />to 400,000 BTUs <br />No. <br />Conversion Units <br />over 400,000 BTUs <br />Cookstaves <br />Range Tops — Ovens <br />Furnaces to 400,000 BTUs <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 />Pipe in excess of 60' <br />Clothes Dryers <br />Air Cunditioning Units <br />Permit Fee $ •�- <br />vas Installation Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address <br />Owner <br />Installer7�0� <br />c <br />City of Everett, by <br />—IMPORTANT KOTICii <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 />:overing. <br />Remarks and Corrections!t!" %f � YI/o-)- <br />11 _ <br />Inspection — Date Inspector <br />Call Back — Date _ Inspector <br />Final — Date J�-7L_ Inspector. -� <br />This Permit must be posted on Job before Starting Installation. <br />Permit I ' J '. 3 <br />