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Gas lnstallafiion Permit � <br />City of Evercct DEPARTMENT OF PUBLIC WORKS <br />Datc <br />APPiiances No. <br />Ccnversion Uiti�s <br />to ��00,000 BTUs <br />Cunvcrs�.a Units <br />ovur 400,OOli BTUs <br />Cookstoves <br />Range Tops -- Ovens <br />Furnaces Io 400,000 BTUs <br />Furnaces over 400,000 BTUs <br />Space Hea�cre to 70,000 BTUs <br />Spau` HcatLLrs ovcr 70,000 BTUs <br />Fu.•place Log <br />lNa�cr Healcrs � <br />Pi�ing <br />pipc in uzcess of ti0' <br />ClotPes Orvcrs <br />!�rt ConAtl�oning Units <br />Rudar <br />—1 <br />V� nnrt Fee . . . . 5 . � ! <br />Addics�---- -- �-- — — ..C_.:�.G ; �.:.:��I i i:.: .--..-- <br />OWnef '/.'�. -,l'�l:`.-Ll� <br />Installcr N (� � — <br />�� � ���t � � <br />City oF Everett, by _ � � - <br />—IMPORTANT NOTICE— <br />All woik must conform to the provisions of lhe ordinances of the City ot Fve«�t�, <br />Washingron. It is the responsibility of the Pcrmit Holder to see that Ciry Inspectiun <br />Division is notified and the installation inspected before covering. <br />Remarks and Corrections: <br />Inspection — Dare _ Inspecror — - <br />Call Back — Date Inspector — <br />Final — Date Insf�ctor _ _. _. <br />Th!s Penni� mutt bc Pas±ed an Job hefore Stariinn Im��.��l,,t���i�. <br />� <br />