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City of Everett <br />Date <br />Appliances <br />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 />Permit fee . . , $ <br />Gas Installation Perr 't <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />C f <br />Address <br />Owner <br />City of Everett, by. / /' <br />—IMPORTANT NOTICE — <br />All 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 Inspection Division is notified and the instaflation inspected before <br />covering. <br />�j <br />Remarks and Corrections U•.;�>;. _ e y ec � �) coo L <br />�1 m <br />Inspection —Date_ __ ____ Inspector_ <br />Call Back — Date_ __ Inspector___ <br />Final—Date-4— Inspector - <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />