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City of Ereretf <br />Date <br />Applianccs �. No. <br />Cam-crsion Unils � ' <br />to 400,000 BTUs <br />Convcrsicn Units <br />ovcr 400,000 BTUs <br />Cwks�ovcs <br />Fongc Tcps — Ovcns �' <br />Furnates to dpp,pQQ pTUs � <br />Rimcccs uvcr 400,000 6TU5 � <br />Snacc Hcatcrs Io ; 0,000 BTUs <br />SDacc Heotcrs ovcr 70,000 BTUs � <br />Rclrigcmtcrs � <br />i _.__ <br />Watcr HcoMrs � <br />Piping I— <br />Pipc in enccss of 60' I <br />Clolhes Dryers I <br />— i _ <br />Air Conditicning Uni�s � <br />Permit Fec . . . $ <br />Gas Installation Perm�t ,/.i <br />DEPARTMENT OF PUB! IC WORKS Inspection Division <br />Address ______ . ____ <br />Owner_ < <br />Installer. � " �' � -� <br />City of Everett, by_ <br />—i�aoo:�-�r,T tio�ic�— <br />AIl work must con(orm to the provisions of the ordinances of the City of <br />Everett, V��ashington. It is the responsibility of the Permit Holder to see that <br />City Inspection Division is no(ified and the installation inspected before <br />covering. <br />/ <br />Remarks and Corrections/:/�. – SS�C��c 19 /�a''; G7 <br />�.�. __� I �t� AY7A 'JO /..� �% .� _ —.. <br />Inspection — Date _ _ _. Inspector _ <br />Call Back — Date / _ Mspecror __ <br />Final —Date'�/ Y/Z'Z Inspector ����� <br />l� <br />Thi, Permit must be posted on Job before Starting Installation. <br />Permit <br />