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City oF Everett <br />Date_ ' -` <br />Applianees ---_--I- N�• <br />Conversion Units <br />to 400,000 BTUs <br />co����sio� uni�s _ ___ <br />ovc� 400,000 BTUs <br />Ccokstoves <br />Range Teps — Ovens <br />Furwces to 4f1QC;?0 �TUs <br />Furnaces over 400,000 BTUs <br />Space Heatcrs to 70,000 BTUs <br />Space Hcotcrs over 70,000 BTUs <br />Refrigcratcrs <br />Water Hcatcrs <br />Pipin9 <br />Pipe in ezmss of 60' <br />❑othes Dryers <br />Air Conditionin9 Uni�s <br />Pcrmit Fcc . . . $ � <br />.3as Insiallcatior� Peran�ti <br />OEPARTMENT OF PURLIC WORKS <br />Address <br />� � / : ��� -::: <br />� <br />Inspection Division <br />Owner ' �-�/�<! ?l"LIiL''�. — <br />,, � 1 <br />Installer_—� '� <br />�`'1 �J <br />� /,.: ��, <br />City of Evereti, by_ ' —..__. -- ----- - - <br />— —I —!M?03ThP;T P:OTIC�— <br />___IAll work must conform io the provisions of the ordinances of tne City of <br />Everett, Washin9ton. It is the respunsibility of the Permit Holder to see that <br />�`— City Inspection Division is notified and the installation insFected before <br />-- covering. <br />Remarks and Corrections: <br />Inspertion — <br />Inspecfor <br />Call Back — Date . Inspector _ — <br />Final —Date_/_!'w�'��'Inspector �`,�-- — <br />This Fermit must be posted on Job before Starting Install;tion. <br />Permit <br />r' - <br />� - - - — -- - ':m . <br />