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City of ErcreH <br />Date------- � - — -� �- <br />Appiiances <br />Cr.nvers�on Units <br />c� aoo,aoo oru: <br />co�,.�,��,n u���s <br />cvcr 40J,000 BTUs <br />Coakstoves <br />Range ToDs — Ovens <br />Furnaees to A00,000 BTUs <br />Furnaces ovcr 400,000 BTUs <br />Spoce Heaters to 70,000 BTUs <br />Spoce Heaters aver 70,000 BTUs <br />Woter Henters <br />Piping -- <br />Pipe in ezcess of 60' <br />Clothes Dryers <br />/�ir Conditioning Units <br />Pcrmit Fec . . . $ <br />�!o. <br />ias Installation Perrr, <br />DEPARTMENT OF PUBLIC WORKS <br />Address <br />Owl1Cf <br />Installer__ � <br />City of Everett, by. <br />Inspection airision <br />—IMPORTANT NOTICE— <br />All work must conform to the pwvisions of the ordinances o( the City of <br />Everett, Washington. It is the responsibility of the Permit Holder to see that <br />Cify Ins,�ection Division is notified and the installation inspetted before <br />covering. <br />N ^ <br />Remarks and Corrections: f� � n`� �� � U�� /� �1 <br />Inspeccion —Date_3'Z y—�L_ Inspector_,/•�/'C'�'*���"% _ __ <br />Call Dack — Date— _ Inspector__ <br />y���� f i�' /, � <br />Final —Date 3-L3—L Inspectorj��^�'`�'u / <br />This Fermit must be posted :m Job before Starting Installation. <br />Pr.rmif <br />