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City of Everett <br />;1 <br />Uate – <br />Gas Installation P�rre�it <br />CEPARTMENT OF PUBLIC VJORI<S <br />Appliances No. <br />Comersion Uniis <br />to 400,000 BTUs <br />Convcrsion Units <br />ovcr 400,000 BTUs <br />Cookstoves <br />Range Tops – Ovens <br />Furnaces ro 400,000 BTUs <br />Furnaces over 400,000 BTUs <br />Spacc Hcaters to 7Q070 BTUs <br />Spucc Hea�ers over 70,000 BTUs <br />Fireplacc Log <br />Water HeJ�Crs <br />PiPinp <br />Pipu in ezcess of 60' <br />Clothes Drycrs <br />l�ir Condi�ionin9 Units <br />eoilcr — <br />Peimit Fee . . . . nj . - -' <br />Address <br />�WnCf '��'.O (�.:�� <br />Installer '. ��� .� � �, A, �=� <br />City of Everett, by_ <br />IP::�PECTIO�N DI'JISIU?; <br />— IMPORTANT NOTICE — <br />All work must conform to the provisions of the ardinances of the City of Evemtt, <br />Washin9ton. It is [he responsibilit•y of the Permit Holder to see that Ciry Inspeciion <br />Division is notified and the installation inspecied before r.overiny. <br />RCO1JfK5 OflO COffBCi10115: <br />Inspecuon — Date Inspectar <br />Call 8ack -- Datc _ Inspector <br />Final — Date Inspector <br />This Pcnnit in!a� Im posted on Job before Smrtin� Installation. <br />n ,-� -� [,, <br />Permit ,. _ .. .. <br />