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City of Everett) <br />Date _J 22-%Z <br />Appliances No. <br />Conversion Units _I <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops —Ovens <br />)_- <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 H,9ters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />I <br />V <br />Parmit Fee $ <br />Gas Installation Perm.c <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address i�, <br />Owner <br />Installer <br />City of E <br />--IMP0R?.A.faT NOTICE <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: _<_ _ <br />Inspection — Date Inspector <br />Call Back — Date . Inspector <br />Final —Date H—a`1-1Z Inspector. <br />This Permit must be posted on Job before Starting Installation. <br />Permit I "1 2 t '31. <br />