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City of Everett <br />Date � :-!^. . ' — - <br />J� .. <br />Gds Installation Pern�it <br />DEPARTMENT OF PUBLIC VJORKS <br />Applianees Na. <br />Coneersion Units <br />to 400,pp0 BTUs <br />Convcrsion Units <br />over 400,OOp BTUs <br />Cookstoves <br />Range Tops — Ovens <br />Furnaces to 40p,pp0 BTUs <br />Furnaces over 400,000 BTUs <br />SPace Hcarers to 70,000 BTUs -- <br />Spacc Hcalc , over 70,000 BTUs <br />Fireplacc Log <br />n• <br />Watcr Heatcrs - a"":-- <br />Piping . ' • c`= <br />j _ . <br />Pipe in encess ol ('i0' <br />Clothes Drycrs <br />Air Contlflioning Uni�s <br />Bollcr <br />Permit Fee . . . . 'p " - " <br />Address <br />/ ' i <br />Owner .-� _ r: �' �i �i :��� <br />/ .� _ <br />. . _. r'� . . i `" <br />City o( Eecrett, by -�'� , � . <br />IYt� ��r;•Tin:i nn,��i,-.� <br />-IMPOFTANT NOTICE- <br />All work must confomi to the provisions of ihe ordinances of the City uf Everntt, <br />Washin9ton. It is the responsibility o� thc Permit Holder to see that City Inspec[ion <br />Division is notified and the installalion inspected be(ore covering. <br />Remarks and Cormctinns: <br />�115�)L'Ci1011 — �JIC _ �f15�)CC(O� <br />��all Back — Datc_ Inspector <br />Final — Date Inspector <br />l"his Pennit must be posted on Job befare Starting Installatirni. <br />Pr.rmit <br />