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Cify of Ev¢reH <br />Date _ __ _ _ _ <br />Appliances No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />ovcr 400,000 BTUs <br />Cookstoves <br />Range Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Fumaces o�cr 400,000 BTUs <br />Spacc Heoters ta 70,000 BTUs <br />Space Heater over 70,000 BTUs <br />Refrigerators <br />Woter Heaters <br />Piping <br />Pipc in excess of 60' <br />Clothes Dryars <br />Air Conditionin9 Units <br />Permit Fee . . . S � <br />S3as Installation Perrr '+. <br />DEPARTMENT OF PUBLIC WORKS Inapecfion Division <br />Owner <br />Installer_ <br />City of Everett, by. <br />—IMPORTANT NOTICE— <br />All work must conform to the provisions of the ordinances of the f ity of <br />Everett, Washington. It is the responsibility of the Permit Holder to see thai <br />City Inspection Division is notified and the installation ins�ected before <br />eovering. s/� HTR GS`vv�' �✓ �e�ie Q <br />Remarks and Corrections: w/i �/6' D.» /✓ j/ a%o � <br />7 ��'l- — <br />Inspection —Date_/_'--!����' Inspectcr_.�'! �� <br />Call Back — Date— _ Inspector____ <br />Final —Date Inspector--_— <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />