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City of Everett <br />Date--------- _ _ _ <br />Appliances .---.--i- No. <br />i <br />Cenversicn Units . <br />to 400,000 6TUs <br />Ccnvcrsion Units <br />cver 400,000 BTUs <br />Cookstoves <br />Ran9e Tops — Ovens <br />Fumaces fo 400,000 BTUs ��� <br />Pumaccs ovcr 400,000 6TUs <br />`,pccc Hcamrs to 70,OOC BTUs <br />lipace Fleaters over 70,000 BTUs I <br />I:clrigcrotnr. <br />�Vatcr Hcaters <br />Pipin� —I_ <br />Pipe in exr.ess of 60' _ _I_ <br />IClolhes Dryers <br />� Air ConAitionin9 Units <br />i --- — <br />i <br />� <br />I � <br />! ,.�•��i . . . . � <br />Gas Instaliatioro Perrr=# <br />DEPAitTMENT OF PUBLIC WORKS <br />Address. _ <br />Owner_ '`'t- <br />Instollec___ `.� <br />��ly uf Everett, b•; <br />. .f• !. lCi"'�.:/ .� <br />� <br />L' <br />Inspection Division <br />—IMPC�RTANT NOTICE— <br />All woric must confo;� to ihe pro�:isions of the ordinances of the City of <br />Everett, Washingfon. It is th: rc�ponsibility of thc Fcrmit Holder 1, sec th.=.t <br />City Inspection Division is notili��J and thc install„ti��n in;p�_,ci<_I !_-�;orc <br />eovering. <br />C + <br />Remarl:s and Cnrreciioris: �euw- _/OS%��7; �)� .�Ejt��o !O tn_A <br />,�.�. LU���� <br />..____..___._-. _..57. ___"__ ' .-_'- <br />wn.�:..e �a��6 <br />Inspar.tion ..—I:':Ic - -_ — Inspectot'. .. <br />Call Eacic — Date _ _ _ _ _ Inspectnr __ _ <br />Final — Datc %2' I_L `�d' Inspecior � <br />�' - - _ - <br />This Permit must bc posted on Jcb before �•t:vih ;� Installal;c�i. <br />� r,u,�t <br />