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City of Everett <br />Date_ -- - I tl- j'Z_ <br />Appliances No. <br />conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves _ <br />Range Tops —Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />()f <br />Permit Fee $ <br />,jas Installation Persia, <br />DEPARTNAENT OF PUBLIC WORKS Inspection Division <br />Address "�f�J✓� "'%%%1 �Lt..-1"t1, --- -- <br />Owner �� i�l % e L Sa <br />Installer — <br />City of Everett, by <br />IMP0RTh_NT N''0TICE <br />All work must conform to the provisions of the ordinznces of the City of <br />Everett, Washington. It is the responsibility of the Permit Holder to see that <br />City inspection Division is notified and the installation inspected before <br />covering. <br />Remarks and Corrections:- I ?- 1, tea )1 / OC % <br />7 / <br />Inspection—Date?�1 Inspector -- -- <br />Call Back —Date-- Inspector <br />Final —Date-- Inspector <br />This Permit must be posted on Job before Starting Installation. <br />Permit ?083 <br />t� <br />