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City of Everett <br />Date <br />Qpnvcrsian Unils <br />ID 400.000 BTUS <br />Convcrsio�� Units <br />a�cr 400000 BTUs <br />Cookstoves <br />Ran9c Tops - Gvens <br />Furnaces to 4W �0 6TUs <br />Furn.�ces owr 400,000 BTUs <br />$pace Hcaters to 70,000 BTUs <br />Spacc Ncatcrs ovcr 70 000 BTUs <br />Fucplace Log <br />Watcr Heaters � <br />plpcin encess o� 60' <br />�— <br />Clothes D� <br />,�v Candiboning Uni�s <br />_ �---- <br />IyoJur <br />Pcimit Fca . . . • Cu <br />Gas Installation Permit <br />DEPARTMENT OF PUBLIC WORI<S <br />Na. Addre55 --� ----_— <br />, �i, : � � . �. � , � \. <br />p•� _ <br />Owner i � <br />/. � %-. 1- <br />Installer <br />Ciry of EVCrCIi, <br />-IMPORTANT NOTICE- <br />Ins n`ction <br />All �vork must contorm to the provi:ions ot the ordinances of the City of °���' � <br />Washin9ton. It is thc responsibiliry of thc Permit Holder to see t�iat �'�� � <br />Division is notified and the installation inspected belore coverin9. <br />Remarks and Corrections: <br />— Date Inspector <br />Insnection — <br />_— Dale InspeClof <br />Call l3ack �— <br />— Date Inspector — - — � — <br />Fin.�l --� <br />ihis Pemiit inust 6e Posled on Job 6efore Stanin�,t Inctallnt.r��� <br />� <br />