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City of Everett <br />Date <br />Appliances <br />No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Pang Tops — Ovens <br />Furnaces to 400,000 BTUs <br />C <br />Furnaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Fireplace Log <br />Water Heaters <br />Piping <br />Pipe in excess at 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Boiler <br />Permit Fee . . . . r"S <br />Gas Installation Permit <br />DEPARTMENT OF PUBLIC WORKS <br />Address <br />INSPECTION DIVISION <br />7' <br />Owner <br />Installer <br />City of Everett, by_-- <br />- I MPORTANT NOTICE <br />- <br />All work must conform to the provisions of the ordinances of the City of Everett, <br />Washington. It is the responsibility of the Permit Holder to see that City Inspection <br />Division is notified and the installation inspected before covering. <br />Remarks and Corrections: <br />Inspection — Date Inspector <br />Call Back — Date Inspector <br />Final — Date Inspector <br />This Permit must be posted on Job before Starting Installation. <br />Permit 3329 <br />