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City oi Evcrett <br />Datr. � <br />Gas Insfallation Rermit <br />DEPARTMENT OF FUBLIC WORKS <br />ApP�iances No. <br />Convcrsion Unns <br />to 400,000 BTUs <br />Convcrsion Uni�s <br />wer 400,000 BTUs <br />Cooksiaves <br />Rd�9C TOpS — OVCl15 <br />Purnaces to 400,000 BTUs <br />Forn�ces ovr.r 400,000 BTUs <br />Space Hca�ms �0 70,000 BTUs <br />Spam Hcaters over 70,000 BTUs � <br />Fireplace Log <br />Water Hca�crs <br />P�Ping <br />Pipe in excess of GO' <br />— —� <br />Cbthes Drycrs <br />A�r ConAitioning UNis <br />Pndcr <br />p���»�i F�.,, . . . . S <br />Address •�<'-f��� ���UiC � <br />nwncr i`J/`7��0�0":.�'iJ .� <br />— IMPORTANT NOTICE -- <br />All work must confomi to the provisions of the ordinances o1 [he City ot [verett, <br />Washingtun. It is the responsibility of the Permit Holdcr to sce that City Inspec�ion <br />Division is noti(ied and ;he installation inspected betore cocering. <br />Remarks and Corrections: <br />Inspection — Da�e _ hispector <br />Call Back — Date hispector <br />Final — Date Inspector <br />This Pennit must be pocted on Job before Staninq In•,i„Il.�u: n. <br />�� <br />