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City of Ererett <br />Date_�� - � � „� _ � �.. <br />Applionccs ' No. <br />Canversian Units ' <br />ro 400,000 �TUs <br />Convcrsian Uni1s I <br />occr 400,000 BTUs <br />_ J_ _ <br />Coakstoves _, <br />IRangc Tcps — Ovcns �y <br />Fumocc, rn 4f70 (!CO RTUv � <br />�'Fumcccs ovcr 400,000 UTUs <br />Spoce Hcatcrs to 70,000 BTUs <br />Spacc Hcotcrs ovcr 70,000 �'Ns � <br />— — -J--- <br />Refrigeraiors <br />Watcr Hcatcrs <br />Piping — <br />_ — I__— <br />Pipe in extess of 60' I <br />Ciothes Drycrs I <br />Air Conditiening Unils I <br />Pcrmit Fcc . . . $ '�- <br />��as Installation Perm�� <br />DEPARTMENT OF PUBLIC �1'ORKS <br />Address ' �__ _ __- � <br />Owner._ ~ "�' -= '-' <br />Installer_:: <br />City of Everett, <br />� <br />Inspedion Division <br />—lM�ORTA�IT tiOTICE— <br />All work must conform to the provisions of ihe ordinances of the City of <br />Everett, Washington. It i�':�c responsibility of the Permit Holder to see that <br />City Inspection Division is notified and the installation inspected before <br />covering. <br />Remarks and Cnrrections: ___ _ <br />Inspection — Date_.. _ h�spector <br />Call Back — Date _ Inspector <br />Pinal —DateLL��/lL Inspector- /� r _ <br />This Permit must be posted on Job before Starting Installation. <br />PermiY <br />