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City of cverett <br />Date —_ _ <br />Appliances No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops —Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces 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 . . . $ <br />Gas Installc:ion Perrr't <br />DEPARTMENT OF PUBLIC WORKS <br />Owner <br />Installer_ <br />City of Everett, by. <br />Inspection Division <br />—IMPORTANT NOTICE — <br />All work must confo- n 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:/ d7T YI t � L a11 <br />— <br />Inspection — <br />Call Back — <br />Inspector__ <br />Final —Date 'Y'/y `1 b Inspector--o' <br />This Permit must be posted oh Job before Starting Installation. <br />Permit <br />