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City of Everett <br />Date- ------ <br />Appliances <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range To05 — Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces over 400,000 3TUs <br />Space Heaters to 70,000 IITUs <br />Space Heaters over 70,000 BTUs <br />R,'rigeratOrs <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Art Conditioning Units <br />Permit Fee • • —S <br />P� <br />gas Installation Perm <br />Inspection Division <br />DEPARTMENT OF PUBLIC WOf:KS <br />No. Address -- <br />Owner <br />Installer — <br />City of Everett, by. <br />—IMPORTANT NOTICE -- <br />Ali 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 notified and the installation inspected before <br />covering. <br />Remarks and Corrections: <br />Inspection — Date -_ ----- Inspector_ --- ------ -- <br />Call Back — Date_. --- Inspector-------- <br />Final —Date-- Inspector___ — - <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />