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City of Everett <br />. , <br />Date `- �' - �.--_ - = <br />Applionccs ___'_ __�- Na. <br />Conversion Units '� t <br />to 400,000 BTUs <br />Convcrsion Units � <br />ovcr 400,000 BTUs <br />COOASIOVCS __ <br />Rongc Tcps — Ovens <br />Fumaees ro 400,000 C�TUs � <br />Fumaccs ovcr 400,000 BTUs � <br />Spacc Hcaters to 70,000 BTUs II <br />Spocc Hcotcrs ovcr 70,000 BTUs _ <br />Re(ri9cralars <br />Watcr Hcatcrs <br />Piping � <br />Pipe in catess of 60' <br />Ciolhes Dryers I <br />Air Conditionin9 Units I <br />�as Installation Permit <br />DEPARTMENT OF PUBLiC WORKS <br />✓ <br />Inspection Division <br />Address ' J l^t-� - :Li�.t�..� `�_L��� <br />Owner � t �c�'-'�L � ' /-�� � r =1� �......�1`� <br />Installer �J • l'� �- <br />City of Everett, by '�>_'_.._—�% -�`7 -�!' <br />—i�aooeTnrir �;o�ic�— <br />All work must conform ro the provisions of the ordinances of the City of <br />' Everett, Washington. It is the res�onsibility of the Permit Holder to see that <br />ICity Inspection Division is notified and the installatio� inspected before <br />covering. <br />Remarks and Corrections: <br />Inspection — Date <br />Call Back — Date <br />Final — �ate <br />InSpector <br />Inspecror <br />Inspector <br />This Permit must be posted on Job before Starting Installation. <br />Pcrmit Fcc . . . $ , � I PCnnif <br />