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G4s Inst,�llation Perr,.�t <br />C�ty ot Everett DEPARTMENT OF PUBLIC WORKS <br />Date <br />Appliances No. <br />conversion units <br />to A00.000 BTUs <br />Convcrsion Units <br />avcr 400,000 BTUs <br />Coakstoves <br />flangc Tups — Ovens <br />Fwnaces to 4W,000 BTUs <br />Fomaces ovcr 400,000 BTUs <br />Spacc Ncatcrs to 70,000 BTUs <br />Spacc Hca�ers wcr 70,000 f3TUs <br />f-ireplac' '. og <br />Watcr Hra�crs _. <br />Piping <br />Rpc �n cncess u( 60' <br />Cloihcs �rycrs <br />Av ConAi�ioning Uniis <br />Boilcr <br />S • .e..7 <br />Pcimi� Fr� . . . . . . <br />� <br />Address " � P� �� ,� �_ l-:. <br />Owner '� �� II--LC.fZ. <br />In;taller � '.��'� �— <br />City of Evemtt, bv _..__ <br />—IMPORTANT NOTICE— <br />All work must conform to �he provisions of the ordinances o( the Ciry of Everett, <br />Washin9ior. It is the responsibility of ihe Permit Holder to sce Ihat Ciry In�oec[ion <br />Divlsion is nuti�ied onJ the inriallatlon inspected beforc covr.ring. <br />RemaiAs anJ Couc��ionti: <br />�I15�)CCt1011 <br />Call bnck <br />Fl�ii� <br />Date / 3 �� p,spector <br />Date In�pector_ <br />Da�e Inspector <br />This Pemiit must 6e pusted on Job bcfore Starting Installation. <br />Fr.rmit � �_ � �' <br />