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City of Everett <br />Date _ _ __ _ _ <br />Applionces No. <br />Conversicn Units <br />to 40U,000 BTUs <br />Convcrsion Units <br />ovcr 400,000 BTUs <br />lr�kstoves <br />Ran{7c Tops — Ovens <br />Furnoccs to 400,000 BTUs <br />Fumoces over 400,'J00 BTUs <br />Space Heatere �0 70,000 BTUs <br />Space Heatcrs over 70,000 UTUs <br />Ref rigerators <br />Wotcr Hcoters <br />Piping <br />Pipe in excess of 60' I <br />Clothes Dryerz _L_ <br />Air Ccnditioning Units <br />Permit fcc . . . $ <br />�. <br />aas Installation Perm'� <br />DEPARTMENT OF PUBI.IC WORKS <br />QWIl2f <br />Installer <br />City of Everett, by <br />Inspecfion Division <br />� <br />—IMPORTANT NOTICE— <br />AIl work must conform ro 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 <br />Inspection — Date__ _ Inspector_. _ <br />�all Back — Date_ Inspector_ _ <br />Final — Date__ Inspecror._ <br />This Permit mu�t be posted on Job before Starting Installation. <br />Pcrmit <br />Ij <br />