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City of Erereff <br />Date— ----- --- <br />appliancc: No. <br />Conversion Unih <br />to 400,000 BTUs <br />Convcrsion Units <br />over 400,000 6TUs <br />Cookstoves <br />Ronge Tops — Ovens <br />Furnaces to 400,000 BTUs <br />Furnaces aver 400,000 BTUs <br />Spac� Heaters to 70,OOC BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers I <br />Air Conditioning Unrts I <br />Permif Fee . . . $ <br />�a� Installafion Per�rr''� <br />DE.PARTMENT OF PUBLIC WORKS Inspeetion Division <br />Address <br />Owner <br />Installer <br />City of Everett, by. <br />—;MPGRTANT NOTI^E— <br />AI� work must conform to the provisions of the ordinances of the City of <br />Everett, Washington. It is the responsibilihy� of the Permit Holder to see That <br />City Inspection Division is notified and the installaTion inspected before <br />covering. <br />Remarks and Corrections: W�`'� `/-?i �)% / a�(cS Q <br />Inspection —Date_____._ Inspector_ <br />Call Back — Date_ Inspector_ <br />Final — Date � 2-j r Inspectcr_�_l� � f�.-�-�' <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />