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City of Evcrett <br />Date <br />�ds Installation Pern�it <br />DEPARTMENT OF PUBLIC WORI(S <br />ApPiiances Na. <br />Conversion Units <br />to 400,000 BTUs <br />Conucrsion Units <br />ovcr d00,000 BTUs <br />Cooks�wes <br />Rang` TopS — Ovens I <br />Furna<es to 400,000 BTUs � ' � `- <br />Furnaces ovcr 400,000 BTUs <br />Spacc Hcamrs to 70,000 BTUs <br />Space Hcaters over 70,000 BTUs <br />FireUlacc Lo9 <br />Wnicr Hca�crs <br />Piping <br />pipr.in exeess of 60' <br />c�mm�s orvers <br />l�ir Condi�ioning Un�is <br />Bailcr <br />-- � — — ---- ---i- <br />� <br />Pc�mil Fec . . . . $ <br />Address � � i'� ` . . <br />oW„�� �� lJN�' ' <br />/ > �. <br />Installer ��� �l" <br />City of Everett, bY - <br />� , ��:i� �, <br />- IMPORTANT NOTICE - <br />All work must r.on(orm to thc provisions o( the ordinances of the City of Everett, <br />Washington. II is the responsibility of �he Permit Holder to sce that Ciry Inspection <br />Division is notified and the installation inspected betore coverin9. <br />Remarks and Cormctions <br />Inspection — Date __ Inspector <br />Call Back — Date Inspector <br />Final — Date Inspector <br />�h�c I'ermlt must I�a posted oi; Job before Sterting Ins�;ilation. <br />Permit .� � � <br />