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Gas Installation Peren•t <br /> DEPARTMENT OF FUBLIC WORKS <br /> Inspection Division <br /> City of EvcreH <br /> � <br /> Date- � � � - --- -- ._— <br /> No. Address .—-- �--�� __—_ _�- ,,3- <br /> ppplion<es___ __�_ �— <br /> Convcrsion Units <br /> pwner- <br /> to 400,000 B�___ _ ___— ,�.i, r . '_ <br /> Installer _ __ . <br /> Con�crsion Units ;" . - -- —' <br /> _ _-- <br /> ovcr 400,000 BTUs � --- <br /> __.-- <br /> -- � � City ot Everetl,bY--r-.-' <br /> Caokstovc, —�-- <br /> _ �� MpORTAi!? :i6T� Cc— <br /> Rongc Tcps— __ _. .-� - <br /> F�,m�es ro ann.r,eo nrus � rovisions of ihe ordinances of the Gity o� <br /> � � � p,ll work must con{arm to the p <br /> Furmccs ovcr 400,000 BTUs � _ <br /> __�—�—I Evereti, Wes����i9�on. It is the responsibility of the Permit Holder to see t a <br /> 5p,,,�Hcafc�-���n,oDOBTU_�_ __ CitY ���Si,��ticn Civisinn is notified and ihe installation inspected before <br /> i <br /> -- 000 BTUs� �o�cring. <br /> Space Heo�°0r 70, __— — —_ <br /> aetr��cmiors Remarks and Corrections — — <br /> —_--�— _�_ —_ <br /> Water Heaters � — __--- <br /> PiPin9 ��I___ _____ _ -__—- — __-_ <br /> —" Inspector _ <br /> pipc in cxcess of 60' I --" InSp�d�ion —�ate._— _ <br /> Clo�hes Orvcr_�_ — _Date_ . Inspeetor <br /> I Call Back C <br /> Air Ccndilionin9 Unit��_J---- I • <br /> --- —Date�!—�i-� Inspecror <br /> I F""� Installation. <br /> _ — I <br /> _---�— <br /> -� This Permit must be posted on lob before Starting <br /> Permit <br /> Pcrni; Fec • � ' S " <br />