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c <br />City of Everett <br />Date <br />Gas Installation Permit INSPECTION DIVISION <br />DEPARTMENT OF PUBLIC WORKS <br />Appliances <br />No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range TOPS — Ovens <br />Furnaces to 4170,000 BTUs <br />� <br />Furnaces over 400.000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Fireplace Log <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Bode, <br />Permit Fee $ Q c, <br />Address T �� /�✓! �e�%�LU �h'r� I <br />Owner <br />Installer <br />City of Everett, <br />-IMPORTANT NOTICE - <br />All work must conform to the provisions of the ordinances of the City of Everett, <br />Washington. It is the responsibility of the Permit Holder to see that City Inspection <br />Division is notified and the installation inspected before covering. <br />Remarks and Corrections: <br />Inspection —Date-- Inspector_ <br />Call Back — Date Inspector_ <br />Final — Date Inspector <br />This Permit must be posted on Job before Starting Installation. <br />Permit 3 312 <br />d <br />I <br />