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City ot Everett <br />Dme � , i " ` �%��� <br />Gas Installation Permit <br />DEPARTMENT OF PUBLIC WORKS <br />Appliances No. <br />Convcrsion Unns <br />to 400,000 �TUs <br />Canvcrsion Unils <br />ovcr 400,000 BTUs <br />CookslOvcs <br />Ra�g Taps - Ovens <br />Furnaces �0 400,000 BTUs <br />Fumaces ovr,r 400,000 BTUs <br />Spacc Heatcrs to 70,OOG BTUs � <br />Sn�ce Hca�rrr, wcr 70,000 BTUx <br />f-ireplace Log <br />Water Healeis <br />PiP'�ng <br />Pipe in excess ol GO' <br />Clothes Dryers <br />Air Cond�tioning Units <br />oo�n�� <br />Pcrmrt Fee . . . . J '� <br />� �� <br />,', <br />Address �� ` � ��' 1 � <br />Owner �'h` �.��( ( / / � '�� ('�C%!J _ <br />Installer �� � • <br />. ` ' ` Y, � ^�/' <br />Ciry of Everett, bV _�. - <br />—IMPORTANT NOTICE— <br />All work inu t con(orm to the provisions of the orclinances ot ihe Ciry ot Everel;, <br />Washington. II is thc responsibiliry of the Permit Holder to sce that City InsPEction <br />Uivision is notified and ihe installation in�pec!ed before coverin9. <br />Remarks and Corrections:_ <br />Inspection — Date � _ Inspector <br />Call 6ack — Date Inspecmr <br />Final — Dale h�spr.ctor <br />This Pr,m�it nur.1 hc oosted en Job befOre S�artin�� Ins�ell.iP�m. <br />Prnnrt <br />