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Ciry of Erereft <br />Dale <br />Appliancc: No. <br />Convcrsion Ur,i15 � <br />to 400,000 OTUs <br />Convcrsion Units I <br />ovcr 400,000 BTUs <br />Cooksloves <br />Rongc Tcps — Ovens �� <br />.�as Installai�:+n Perm�� <br />DEPARTMENT OF PUBLIC WORKS <br />Address __ <br />Owner <br />Installer.—__ <br />Ci�y of Evereti, by <br />l '. . <br />✓' <br />Inspectio� Division <br />Furnoces to ann,neo uTUs � — t µ o p g r� �! T K 0 T I C �— <br />F��.�oc�� o�c� 400,000 orUs All work musl contorm to the provisions of the ordinances ot the City of <br />Space Heolcrs to 70,000 6TUs I � Everett, Washington. It is the rcsponsibility of the Permit Holder to see that <br />— I- -- City Inspr.ction Division is notified and the installation inspected before <br />Space Hco�crs ovcr 70,000 BTUs i �overing. <br />Rc�ri�7crators <br />\Nalcr Heoters <br />Remark5 and Corrections: _$1F� 4 •�� =" '-t�_ _I^!' � K -- — _ _ <br />Pipin9 ._— . __ —_— ___—_--_._— ___ . —__—_. <br />' Pipe in exeess of 60' I <br />Ins ectir�n —DateL? '-� �� Inspecior���-r�_�----_ <br />❑mhes Dryers P <br />n�� C�,d�uon�o9 Uo�tz � Call f3ack —Date _ Inspector _ _._. -- -- <br />Permil Fee . . - $ <br />—II— -- f-inal —Date�L Insprcror ��n — <br />/ ' <br />This Permit must be posted on Job before Starting Installation. <br />Pcrmif <br />