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City of Everett <br />Date- —---- - - - -- - <br />App:iances <br />No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Rar3e Tops —Ovens <br />Furnaces to 400,000 BTUsl <br />Fumoces 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 />Air Conditioning Units <br />Permit Fee . . , a <br />Gas Installation Perrr`+. <br />DEPARTMENT OF PUBLIC WORKS <br />Address ---- <br />Owner <br />Installer_ <br />-- <br />City of Everett, by. <br />Inspection Division <br />—IMPORTANT NOTICE — <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 Corrections:bl-& _n W/o /i /C V <br />Inspection —Date_ S-3" -e.3 Inspector - <br />Call Back — Date._ Inspector -_ <br />Final — Date Inspector. <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />