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i <br />uas Installation Permit <br />City of Everett <br />Date <br />Appliances <br />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 0TUs <br />L <br />Furnaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />I _ <br />Air Conditioning Units <br />Permit Fee . . . $ <br />DEPARTMENT OF PUBLIC WORKS <br />Inspection Division <br />Address i 'eo r ,( e/-FGC "Q — — <br />Owner L. f )A,�'',,/� �S�RfZY ----- .-- <br />Installer <br />City of Everett, --— <br />—IMP0RTANT N0TICS— <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. <br />Remarks and Correctionsa— hT� ✓� luaio f� <br />Inspection — Date-- Inspector <br />Call Back —Date-- Inspector --- <br />Final — Date '7'v ZZ— Inspector AOP' <br />This Permit must be posted on Job before Starting Installation. <br />Permit ?,2ijU <br />