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Ci1y of EvereM <br />Date _ _ _ _ _ <br />Appliancet No. <br />Conversion UnitS <br />ro 4J0,000 BTUs <br />Conversion Units <br />over 400,000 9TUs <br />Cookstaves <br />Range ToOs — Ovens <br />Furnaces to 400,000 �TUs <br />Furnotes over 400,J00 RTUs <br />Spoce Heoters to 70,G00 BTUs � <br />Space Hcaters over 70,000 BTUs <br />Refrigerators <br />Wmer Hcoters <br />Piping <br />Pipe in excess of 60' I <br />Clmhes Dryers I <br />A�r Conditioning Uni�s <br />Pcrmit Fec . . . S %% <br />3as Installation Pern ': <br />DEPARTMENT OF PUBLIC WORKS <br />Address_ �0 <br />Owner <br />Installer__. <br />C.ity of Everett, by. _ <br />Inspectian Division <br />—IMPORTANT NOTICE— <br />All work must conform to the provisions 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 noti(ied and the installation inspected before <br />covering. <br />Remarks and Cormctions: <br />.i(JO <br />In�Gection — Date_ � i �p- ) d <br />Call Back — Date— _—_ <br />Fir,al — <br />i � yb <br />I nspec tor.,%✓=�'mN��_��— <br />Inspector_ __ <br />Inspector_ <br />This Permit must be posted on Job before Starting Install.��ion. <br />Permit <br />