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City of Everett <br />Date—_ L,11 -- �7 ._ <br />Appliances <br />Conversion Units <br />to 40u,000 0TUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Fumaces aver 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heoterc over 70,000 OTUs <br />Refrigerators <br />Water Heaters <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Urits <br />Permit Fee . , , $ <br />Gas Installation Perrr�t <br />DEPARTMENT OF PUBLIC WORKS <br />Inspection Division <br />No. Address <br />XOwner_' 7 1: , <br />Installer_ <br />(-I <br />City of Everett, by. 'Le. <br />—IMPORTANT N )TICE— <br />All work must conform to the provisions of the ordinances of the City of <br />Everett, Washington. It is the responsibility of the Permit Holder to see that <br />City !nspection Division is notified and the installation inspected before <br />covering. <br />Remarks and Corrections:L�..�_ps-11_1oorJr <br />Inspection —Date_ -__ _ Inspector. - <br />Call Back — Date_ _ Inspector_ <br />Final —Date y 4` �1— Inspector_! 6 e tfit — I <br />This Permit must bu posted on Job before Starting Installation. I <br />Permit t� <br />�— 791 <br />