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City of Fverett <br />Datc------- _ — -- <br />Apptiances _ No. <br />Convcrsion Units <br />�a 400,000 OTUs <br />Com•c�sion Units <br />over 400,000 BTUs <br />Cooksloves <br />Range Tovs — Ovens � <br />Furnaccs ro 400,000 �TUs I - <br />Furnates ovcr 400,000 BTUS <br />Spacc Heatcrs to ,'0,000 BTUs <br />Spacc Heate�s ovcr 70,000 6TUa <br />Rc(rigcra�oa <br />VJaler Hcatea <br />Plplog <br />Pipe in excess of 60' <br />Clathes orycrs <br />/�ir C�nditioning Units l <br />Permif fee . . . $ <br />Gas Installation Perrr't <br />DEPARTMENT OF PUBLIC WDRKS Inspection Division <br />�Wflff <br />Installer_ <br />City of Everelt, by <br />—IMPORTANT NOTICE— <br />AII work must conform to the pruvisions of the ordinances of the City of <br />Evemtt, Washington. It is the responsibiliry of the Permit Holder to see that <br />City Inspedion Division is notified and the installation inspected before <br />covering. <br />Remarks and Corrections: <br />Inspection —Date_-- —__ MspeUor. ____ <br />Call Back — Dale— Inspector. _ _ <br />Final --Date _ Inspector- __._ <br />This Permit must be posted on Job before Starting Installation. <br />Permi� <br />