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City of Everett <br />Date <br />Applionces � No. <br />Convcrsion Units � <br />ro A00,000 [3TUs � <br />Cenvcrsion Units <br />o�-cr 400,000 BTUs <br />Cookstoves <br />Rangc Tcps — Ovens <br />Furn�ces to dOf`,;;CO [�TUs I <br />Fumcccs ovcr 400,000 OTUs � <br />Spa.c Hcaters to 70,000 OTUs __ <br />Space Hcotcrs ovcr 70,000 BTUs I <br />I:ciriacmtors <br />Watcr Hcotcrs <br />'— L-- <br />Piping <br />Pipe in ezcess of 60' � <br />Cbthes Dryea I <br />Air Conditicnin9 Units I <br />_ --- --�-- <br />� <br />Pcrmit Fec . . . 5 <br />�as Insta9latoon Pee�sn�_ <br />DEPARTMFNT OF PUBLIC WORKS <br />Inspection Division <br />Address _— _�_ _ <br />C^ �p �/ <br />(7wllCf_ r �1�/ ��/7CJfi� Lf•GvC_ <br />Installer---- :��; ` �= -- <br />City of Everett, by_ _ _- �__—. _ <br />—ildo04'.h�lT ":OTIC�— <br />AIl work must ennform to the provisions of the ordin�inces o( the City o� <br />Everett, W.shington. It is the responsibility o( ihc Permii Holder to see th�i <br />City Inspection Division is notified and ihe install�tion inspeded before <br />covering. <br />Remarks and Cnrrections: __2;' �^ � ` __ _ _ _ ___ _ _ _ <br />Inspection — Date Inspector __ _ <br />Call Back — Date _ Inspector __ ____ <br />Final — Date�°Z ��-� Z Insprctor i< C _ <br />This Permir must he posted on Job before Starting InstallaTion. <br />Pcrmit <br />