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City of Everett <br />Date--- _ _. - _. - <br />Appliencn No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 9TUs <br />I Water Heaters I I <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Urits <br />IPermit Fee . . . $ <br />Gas Installation Perr^it <br />DEPARTMENT OF PUBLIC WORKS <br />Owner <br />Installer__ <br />City of Everett, by <br />Inspection Division <br />—IMPORTANT NOTICE — <br />All 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. - <br />wti+L _j�,coo %1 tar e%o C=aL'd-, <br />Remarks and Corrections: ��LC Fx .1w ui ✓iw: <br />n, <br />Inspection — Date.7_-/L- 4 Inspector. <br />Call Back — Date_ __—_ Inspector <br />Final — Date - f/- Inspector 1 WL <br />This Permit must be posted on Jcb before Starting Installation. <br />Permit <br />