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City of Everett <br />Date <br />.aas Installation Perm. <br />DEPART M.NT OF PUBLIC WORKS <br />Apphances _ <br />No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />Piping <br />X <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Permit Fee 5 <br />Addres <br />Owner <br />Installs <br />City of <br />Inspection Division <br />IM1)0ItTANT NOTIC[ <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 Inspection Division is notified and the installation inspected before <br />covering. <br />Remarks and Corrections 2 ��d rV <br />Inspection —Date z Inspectorin' 0' -- <br />Call Back —Date _ Inspector <br />Final — Date Inspector <br />This Permit must be posted on Job before Starting Installation. <br />y <br />Permit , <br />