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Gas InstaQld4ion Perr 't � <br />City of Ererett DEPARTMENT OF PUBLIC W7RK5 !•spe.ron Diri�ion <br />Date <br />Address_ <br />Owner <br />Installer <br />City of Everett, by. <br />—IMIORTANT IVOTICE— <br />AI1 work must conform to the provisions of the ordinances of the City o} <br />Fverett, Washingtori. It is the responsibility of the Permit Holder to see that <br />Cify Inspection Division is notified and the installation inspected before <br />covering. <br />Qwa. �. — C.t�- i�-cc..r.., <br />Remarks and Corrections:��,.i _ yc,cco ^. •� icr`�� ,q ��� � <br />��, �.,�v.. �%t a�.� ,i,:.ca. lac'l A �-Rc,R. <br />_9'" _`"_ � 4 h, o <br />Inspection — Date_—__ ��specfor_ ___ <br />Call Back — Date_ Inspector_ _ <br />Finai —Date9- ��` = � <br />I nspector___ �� <br />This Permit must be posted on Job before Starting Installation. <br />hrmif <br />