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City of EvereM <br />Date__ - - - -.. _ <br />pppliancef No. <br />Comersion Units <br />to 400,000 BTUs <br />Conversion Units <br />wer 400,000 BTUs <br />Cookstoves <br />Range To�s — Ovens <br />Furnaces to 400,000 BTUs <br />Furnoces ovcr 400,000 BTUs <br />Space Heoters to 70,000 BTUs <br />Space Hcaters ovcr 70,000 BTUs <br />Refrigerotors <br />Water Hcoters <br />Piping <br />Pipe in excess of 60' <br />Clothes Drycrs <br />Air Candi�ioning Units <br />Permif Fee . . . � <br />Gas Installation Per� 9t <br />DEPARTMENT OF PUBLIC WORKS <br />Address <br />Owner <br />Installer__ <br />City of Everett, by. <br />✓ <br />;nspecfion Division <br />—IMPORTANT NOTICE— <br />AII work must con(orm to ihe provisions of the ordinances of the City ot <br />Everett, Washington. It is the responsibility of the Permit Holder to see that <br />City Inspection Uivision is notified and ihe installation inspected before <br />covering. <br />Remarks and Corrections: <br />Inspection — Date___ <br />Call Back — Date— <br />Inspector_. _ — <br />Inspector_ <br />Final —Date Inspecror__--._-- <br />This Permit must be posted on Job before Starting Installation. <br />Pc�mit <br />