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City of Everett <br />Date -- <br />Appliances No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over-100,000 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 />.ias Installation. Rerm-'4 <br />DEPARTMENT OF PUBLIC WORKS y Inspection Division <br />Address — <br />Owner <br />Installer__ <br />City of Everett, by. _ <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 i; notified and the installation inspected before <br />covering. <br />Remarks and Corrections: <br />inspection — Date- ._.--- Inspector._________________ <br />Call Back —Date--- / ! Inspector_ <br />Final — Date 3- 1— Inspector_ <br />This Permit must be posted on Job before Starting Installation. <br />lPi <br />Pelmit <br />