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City of Everett <br />Date <br />Appliances No. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops — Ovens <br />Furnaces to 400,000 OTUs_ <br />Furnaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Refrigerators <br />Water Heaters <br />Piping <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units <br />Pormit Fee . . . $ I -- <br />uas Installation Perm-c <br />DEPARTMENT OF PUBLIC WORKS <br />Inspection Division <br />Address <br />Owner <br />Installer `ci�-J`—zo— <br />nA�\Js :c-_ J <br />City of Everett, by <br />—IMPORTANT NOTICE <br />All work must conform to the provisions of the ordinances of the City of <br />Everett, Washington. It is the responsibility of the Permit Holder to see that <br />City Inspection Division is notified and the installation inspected before <br />covering. <br />Remarks and Corrections: <br />Inspection —Date-- Inspector <br />Call Back — Date Inspector <br />Final — Date Inspector <br />This Permit must be posted on Job before Starting Installation. <br />Permit <br />