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City of EvereR <br />Date __ ' _ <br />AMIMnen No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Unih <br />ovar 400,000 BTUs <br />Cookstmes _ <br />Ronqe Tops—Wens <br />Fumaces to 100,000 BTUs <br />Fumaces over 100,000 BTUs <br />Spoce Heaters ro 70,000 BTUs <br />Spoce Heaters over 70,000 BTUs ��. <br />Rcfriperators <br />Water Heoten <br />Pip(np <br />Pipe in excess of 60' <br />Clothes Dryen <br />Air Corditfoninp Units <br />hnnh FN . . . j .;. . . <br />, <br />Gas Installation Perrr't <br />DEPARTMENT OF PUBLIC WORKS <br />Address � <br />Owner � .'� "' � <br />i,. <br />�„ _ _ <br />Installer - <br />/ _ <br />City nf F.verett, by. ` <br />Inspecfion Divifion <br />—IMPORTANT NOTICE— <br />AIl work must conform to the provisions of the ordinances of the City of <br />Everett, Washington. It is the responsibility of the Permit Holder to see that <br />City Inspection Division is notified and the installation inspected before ' <br />covering. f <br />Remarks and Corrections:l �.,�.i -k.�C� 7�� 11 (ov`% Ag � <br />C � <br />. _ �.V �— z7 "" `/ <br />Inspection — Date__ Inspector_.. _ <br />Call Back — Date_ Inspecror_ <br />Final —Date -�b-� Inspector 1�•`�"� . _, <br />This Permit must be posted . Job before Starting Installation. <br />P@rmlf _ <br />