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City of Everett <br />Date <br />✓I <br />Gas Installation Permit <br />DEPARTMENT OF PUBLIC WORKS <br />Address �_._i� �� ( � ' .�//- � <br />Owne� . , h U/Z�L�/ <br />Installer �1 1 �` <br />City of Everett, hV —�---- � — <br />-IMPORTANT NOTICE- <br />All work must coniorm to the provisions of the urdinances ut the City of Evereit, <br />Washin�ion. It is thc resP�nsibility o� ihe Permit Holder to see that City Insnection <br />Division Is nuulicd ,ind the installauun inspected bclorc covcriny. <br />Remaik, and Cn,i��ciir,ns'. <br />inspection —Datc____. Ins�rctor ___- — --- <br />C:JI Back — Date Insp'ctor — ---�--- <br />Final — Date _ Insn=cmr _ . - — -- - <br />Thls PSmiit must be pasird on Job Lu�uir. Starlinn InsGdl.�i��.�.,. <br />Pcrnnt <br />