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City af EvereTf <br />Date <br />AOvliances ...__ _.__ No_ <br />Comersion Units <br />ta 400,000 BTUs <br />[onvcrsion Uni15 I <br />ovcr 400,000 �TUs <br />Cookstovcs <br />Rongc Tcps — Ovcns i _ <br />Furnaces m 400 Op0 PTUs � <br />Fumeces ovcr 40D,000 �TUs � <br />Space Hmtcrs to 70,000 BTUs ( <br />Sna�� Hwters ovcr 70,000 BTUs il <br />Rclrigcrators ' _ I_' <br />Wotcr Hcoters I <br />Piping <br />Pipe in encess of 60' <br />Clothes Dryers I <br />Air Ccnditioning Units <br />— ---' `�� '--=� —I- <br />5 <br />Gas Installation Perm�t <br />DEPARTMENT OF PUBUC WORKS <br />J / <br />Inspection Division <br />Address v�- - - - <br />l � - <br />Owner_ . . . , .. �/�-,^- ,o C.G-.� <br />/� . <br />�l151d��C'f /i��l_�'. <br />_.�' �-� �?, <br />City of Everett, by -_ -- _ _— —_` —_ <br />—lMoOR?A�2? ;rQTIC�— <br />All work must conform to the provisions of the ordinances �f the City of <br />Everett, Washington. It is the responsibility of the Permit Heldcr to see that <br />City Inspection Division is nolified and the installation i7spected before <br />covering. <br />Remarks and Corrcctions: ��kr-"`^ � d � e'vu Yl i oe'� e 73 <br />�� .�.L.� �-t z�.�f �t.i— —_ <br />,-_ __._- �. _.__—.—. —_ —_. <br />Inspection -- Date.__ _ Inspector_ _ <br />— Call Back — Date _ Inspector . <br />Final —Date. �- �y _��--Inspector_�'�� - <br />This Permit must be posted on Job befom Starting Installation. <br />Pcrmit Fce . . . $ � I Pcrmif <br />