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City of EvereH <br />Date— - .- - -__ <br />Appliance� No. <br />Conversion Units <br />to 400,000 BTUs <br />Convcrsion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops — Ovens <br />Furnaces to 400,000 BTUs � <br />Furnoces over 400,000 UTUs <br />Space Heoters to 70,000 9TUs <br />Soace Heaters over 70,000 BTUs <br />Refrigerators <br />Water Hemers � <br />Piping <br />Pipe in excess of 60' <br />Clothes Dry•ers <br />Air Conditionin� Units <br />Permit Fce . , . $ - <br />ias Installation Perrr''� <br />DEPARTMENT OF PUBLlC WORKS <br />Installer <br />City oF'cvereft, by <br />, ,, <br />� v <br />Inspection Qivision <br />—IMPORTANT NOTICE— <br />AIl vork must conform to the provisions of the crdinances of the City of <br />Everet�, Washington. It is the responsibility of the Permit I-lolder to see that <br />City Ins�ection Division is no;ified and the installati�n inspected before <br />covering. <br />Remarks and Corrections: <br />Inspection — Date___ <br />Call Back — Date_ <br />Finaf — <br />Inspectcr_. <br />Inspector_ <br />Inspector_ <br />This Permit must be posted on 1ob before Starting InstallaTicn. <br />Permit <br />n <br />