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City of Everett <br />Date---- - - -- . . <br />Appliances No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Ui,.ts <br />over 400,000 BTUs <br />Cookstoves <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 Conditioning Units <br />Permit Fee S <br />'as Installation Perm'►" <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address <br />Owner <br />Installer_. <br />City of Everett, by <br />—IMPORTANT NOTICE — <br />Ail work must conform to the provisi,)ns 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 />s D oo��fQO/tl <br />Remarks and Corrections <br />Inspection —Date_/ )D Inspector_At <br />Call Back — Date_ __ Inspector -_— <br />Final — Date <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />