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City of Everett <br />Gas Installation Permit <br />DEPARTMENT OF PUBLIC WORKS <br />Appliances No. <br />Convcrslon Uni�s <br />fo 400,000 BTUe <br />Conversion Unns <br />wcr 400,000 BTUs <br />Cookstoves <br />Rangc Tops � Overrs <br />Furnaces in 400 000 BTUs � <br />Furnacn ovcr 400,000 OTUs <br />Spacc Hcatrrs to 70000 6TUs <br />Space Hcaters over 70,OD0 6TUs <br />Frreplace Lo9 <br />Wafer Heaten ' <br />PiPing <br />Rpe in excess oi 60' <br />Gothrs Drycrs <br />�n Contli�ioning Uni[s <br />t=�,Jcr <br />Pennit Fee . . . . rj . � �l � <br />Address - '•� (-% i•"%i � %4lC'.� <br />Owner � - �/ V/�l�� - <br />City of Everett, by__: �_, <br />-IMPORTA:JT NOTICE- <br />All work must confomi to the pravi�,ions of the orclinances o( the City of Everett, <br />Washington. It is the responsibility uf the Permit Holder �o see that City Inspection <br />Division is notified and the installa�,ion inspected belore covering. <br />Remarks and Corrections: <br />Inspec�ion — <br />Call Back — <br />Final — <br />inspector <br />Inspector <br />Date Inspector <br />This Pcrmii must be posted on Job betore Starting Installation. <br />pr.rmit � - " <br />