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City oE Evcrclt <br />Datc <br />Applioncrs . _ _ __. __ No._ <br />Ccnvcrsion Units <br />m 400,000 6TUs _ _J_ _' _. __ <br />C�nversion Umfs <br />rn�cr 400,000 BTUs __ _ _ <br />C�okstoves <br />�:angc Tcp, — Ovens <br />_ -- '_.— _:_ <br />F�.�rnaces ro 40Q000 [ITUs <br />Purnacc� ovcr 400,000 BTUs � <br />npace Hmters to 70,000 �TU� <br />Simc: Hcatcrs ovcr 70,000 BT� <br />Ref rigcrotors <br />Water Hcaters � <br />Piping <br />f'��pe in estess of 60' <br />Clothes Dryers <br />Air Cenditianing Units <br />�ias Ins�allataon Perrni� <br />DEPARTMCNT OF PUBLIC WORKS <br />Inspection Division <br />i,ddress ---=-=—=---�-i�: � � � � ..... <br />Owner_ (� � �TRiJ✓F <br />Installer__ ���' � <br />1 ? <br />City of Everett, by.�_�--- - - __ _ <br />—� �A PO;Z�' A i1T :\ � t'1 Cc— <br />All work inust conform to the provisions of the crdin:mces of the C�ty of <br />Evemtt, Washinnton. It is the responsibility of tl�e Permit Heldcr'a •;e.c lir.;f <br />City Inspection Division is notified and the inslel!ation insp�cted before <br />covering. <br />Remarks and Correetions _—____ <br />--- I -- --- -- — <br />Inspection — Date_- __ I�spector___ <br />Call Dack — Date _ Inspector __ — <br />Final — Datc — Insprctor <br />This Permlt must be posted on Job before Starting installation. <br />Pcrm�t Fcc . . . $ � Pcrmil <br />