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City of Everett <br />Date /p `_- K 2L <br />Appliance <br />I No, <br />Conversion Units --II <br />to 400:000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstos es <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 />'., 1( <br />Refrigerators <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Permit Fco $ <br />Gas Installations Perrr't <br />DEPARTMENT OF PUBLIC WORKS <br />Inspection Division <br />Owner - L �%/� / !. i E ''E r+ "Al <br />Installer1.�. <br />City of Everett, by-'r L 7 - <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. l 1 , I ` <br />Remarks and Corrections: W� tl tn=• 3 A, cob '�h aoIs 13 <br />3S010cn r rooi6lj .So,cco n lotto %3. <br />CQ,'fiWM • - hoc tom. p ri i3 <br />Inspection — Date- . _ _ _- _ Inspector. <br />Call Back — Date_ _— Inspector_ <br />Final — Date i l- 3- G 1' Inspector_ v`-' — �^ iw. <br />This Permit must be posted on Job before Starting Installation. <br />Permit .' �13s <br />