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City of EverPtt <br />Date _ -_ _ __ - <br />Appliances No. <br />Conversion UnitS <br />to 400,000 BTUs <br />Ccnvcrsion Units <br />over 400,000 BTUs <br />Cookstaves <br />Ronge Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Fumaces aver 400,000 BTUs <br />Spoce Heuters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />,^.afrigerators . <br />�___ <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Uni�s I <br />� <br />� <br />Permit Fee . . . i <br />aas Installat�dn Perm'` <br />DEPARTMENT OF PUdLIC WORKS <br />Address <br />Owner <br />Ir' 'aller—_ <br />Ci�y of Everett, by. <br />/ <br />Inspection Division <br />—IMPORTANT NOTICE— <br />AII 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 In: pection Division is notified and the instailation inspected before <br />covering. <br />Remarks and <br />Inspection — Date_— <br />Call Back — Date— <br />Final — <br />Inspector_ <br />Inspector_. <br />I nspecror_ <br />This Permit must be posied on Job before Starting Installation. <br />Permit <br />