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- Gas Installation �ermit ,, , ,,; '; ,;;,. , .; <br />City ai�verett DEPARTMENT OF PUBLIC WORICS <br />: <br />: �i; <br />Date - <br />� Appliances No. <br />Convcrsian Units <br />�a 400,000 6?Us i <br />Convcrsion Ur-�s <br />m•cr 400,000 BTUs <br />Cookstoves <br />Range Tops - Ovens <br />Furnaces to a00,pp0 BTUs <br />Furnaces over 400,000 OTUs <br />Spa�e Heaters io 70,000 BTUs <br />Space Hca�ers over 70,000 BTUs <br />Fireplacc Log <br />Wate� Hexters <br />r�n���q ' <br />Pipe m excess ol �p' <br />Clothes Drynrs <br />Air Cnn�7iboninp Uniis <br />�oilcr <br />_— ---__ . .J- <br />Permit Fee . . . , j � ' . <br />OWncr � <br />Insiallcr_J_i �r__�j^,.�(� �.ZQ�`-�.�,/ �r� <br />�. a•� 1 <br />City o( Gvcren �by_ � � �f f �� <br />— IMPORTANT NOTICE — <br />All work must conform to the provisions of ihe ardinanr.es of the City o( Evcrelt, <br />Washingion. I[ is ihe iesponsibility o( Ihc Pcrmit Holdrr to see tha� Ciiy Inspection <br />Division is notitied and thn insialtaiinn inspur,ted be�ure r.overing. <br />Rcmarks and Coneciions: <br />Inspection — Datc _ Inspr.r.inr <br />Cal! f3�ck -- Datc_ Inspector_ <br />Final -- Date Inspector <br />This Prmiit musl bc posted on Job hefore Starting Instali;,iir�i,. <br />� <br />