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Gas Installation Permit <br />DEPARTMCNT OF PUBLIC WORKS Inspection Division <br />City of Everett <br />7s-7 3 <br />Date <br />/ <br />> SUS <br />Appliances No. <br />—I' <br />Address <br />Caovcrsion Units <br />to 400,000 BTUs .___ <br />Owner <br />/• C ___ __ <br />_ <br />Conversion Units <br />orar 400,000 BTUs_ <br />Installer <br />City of Ev= • ti L <br />Cookstaves <br />Rouge Tops —Ovens <br />—OR '••N T NOTICE- <br />lMP <br />- � <br />furnaces to 400,000 BTUs_i <br />or of City Of <br />to¢responsibrility fthe <br />Furnaces over 400,000 BTus � <br />It s-•,ehe <br />All work must confor <br />of Perm tces Holdertto see that <br />Space Heaters to 70,000 BTUs <br />Everett Washington. <br />City Inspection Division is notified and the installation inspected before <br />space Heaters over 70.000 BTUs <br />covering. <br />Refrigerators <br />Remarks and Corrections:. -- <br />Water Heaters <br />------ <br />Piping — <br />— <br />pipa in excess of 60' <br />Inspection —Date Inspector — <br />ti Dryers <br />Conditioning Units <br />Call Back — Date Inspector <br />Air <br />3 -1 Z 3 Inspector <br />Final --Date <br />be posted on Job before Starting Installation. <br />This Permit must <br />$ pro <br />Permit ? Cs <br />Permit Fee <br />