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City of EvcreM <br />Date_ -- — — —.-- <br />pDplionce� <br />------ <br />Convcrsion Units <br />to 400,000 BTUs <br />Converston Units <br />over 400,000 BTUs <br />Coakstoves <br />Range Taps — O�ens <br />Furnaces to 400,000 BTUs <br />Fumoces over 400,000 BTUs <br />Spoce Heaters �0 70,000 BTUs <br />Spacc Heoters ovcr 70,000 BTUs <br />Woter Heoters <br />�--- <br />PiPing <br />_�� <br />pipe in exccss of 60' <br />�---- <br />Clmhes Dryers <br />__-----� <br />Air Conditioning Units <br />Gas installation Perr*-�t <br />DEPARTMENT OF PUBLIC WORKS ' <br />Na. Address <br />Owner <br />Installer_. <br />1 City of Evcrett, by. <br />a <br />✓ <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 instailation inspected before <br />covering. <br />Remarks and Corrections: — <br />Inspection — Date__ _ _--- Inspecroc -- <br />Call Back — Date�.--- �nspector_ ___ <br />Finai — Date Inspector_ _ <br />This Permit must be posted on Job before Starting Installation. <br />Permif Fee . . . S � Permit <br />