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City of Everefl <br />Date — <br />Applioncrs _ __ No. <br />Comcrsion Units <br />to 400,000 BTUs <br />Convcrsion Units i <br />ovcr b00,000 BTUs <br />_Cookstoves <br />Rongc Tcns — Ovens <br />Fumoces �0 400 CCO BTUs <br />(u;no<es ovcr 400,000 BTUs � _ <br />Space Hcoters to 70,000 �TUs <br />Spoce Heoters over 70,000 BTUs i <br />Refrl9cro�or5 _ I _ <br />\Natrr Heaters I _ <br />Fiping <br />Pi� e in ezcess oi 60' <br />—__ � i <br />Clothcs Dryers � - <br />L __. <br />Av Canditioning Unils <br />�.as Installation Permit <br />DEPARTMLNT OF PUBLIC WORKS Inspccfion Division <br />Address '"�—1 ' L– //t �L✓�- <br />l� <br />Owner_ �—.� .��^�7�/C: <br />Installer ✓, %� C-- -- ----- - <br />City of Evrreti, by___1-,_�— --_ —_ - - - - . . <br />—i�ao�R?P.�lT �o�ic:.— <br />AIl work must conform to the provisions of the ordinanccs of the City of <br />Everett, Wa I inglon. L is �he responsibility of ihc Pcrrr,it Holder to see ihat <br />City Ins�;�cdi�,n [���-is�, �.n r, anlilicd and ihr installation inspeded befo�e <br />coverina <br />Remarks and Cnrrecti�,ns <br />Inspec�ion —Date. <br />Call Back —Date. <br />Inspector <br />(nsper.tor <br />Final — Date I�spector <br />This Permit must be posted on Job before Starting Installation. <br />Pcrmir Fce ... 5 - I Permit <br />