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City of Everett <br />Date_ % r) -- /- 7 <br />Appliances Nam. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Taps — Ovens <br />Furraces to 400,000 OTUs <br />Furnaces over 400,000 BTUs <br />0 <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Ccnditioning Units <br />Permit Fce . . . $ <br />uas Installation Permit <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address 350 <br />�1 <br />Owner— !/%� n� (// /n/ <br />Installer Al <br />City of Everett, by_ <br />—IMPORTANT NOTICE <br />All work must conform to the provisions of 'lie ordinances of the City of <br />Everett, Washington. It iy the responsibility of the Permit Holder to see that <br />City Inspection Division is notified and the installation inspected befcre <br />covering. <br />Remarks and Corrections: <br />Inspection — Date Inspector _---- <br />Call Back —Date Inspector <br />Final — Date I t- "T'-- Inspector K_ C . <br />This Permit must be posted on Job before Starting Installation. <br />Permit ' . P401 <br />t <br />