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City of Everett <br />Date_ <br />Appliances <br />i No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Fumaccs over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Hectets over 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Permit Fee . . . $ <br />ias Installation Perm" �� <br />DEPARTMENT OF PUBLIC WORKS <br />Address -� -V19 <br />Owner <br />Instal <br />City of Everett, by <br />Inspection 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 notified and the installation inspected before <br />covering. AQA pre-n ' (hrr i00ji /' <br />Hr 01.' L47A 07, N <br />Remarks and Corrections: <br />Inspection —Date_-h—/ Inspector-,/ <br />Call Back — Date_ Inspector_ 11 — <br />Final — Date Y 7 / Inspector,l" <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />