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City of Everett <br />Date <br />Gas I�staiiation Perrni � <br />DEPARTMENT OF PUBLIC WORI<S <br />Appliances No. <br />canvcrsion units <br />iu A00,000 BTUs <br />Convcrsian Uniis <br />i rn�er 500,000 BTU:' <br />coors�a��� <br />Han9c Tops — Ovans <br />Furnaces [0 400,000 �TUs <br />Furnaces o•rtr 400,000 BTU' <br />Spar.c Hea[crs to 70,G00 BTU� <br />Space Hoamrs ovcr 70,OJ0 BTUs I <br />Fireplace Lo9 <br />`:Jaicr Hcatcrs <br />PiPin9 <br />Pipe in excess of 60' <br />Ciolhes Dryers <br />Ait Conditioninp Units <br />3oi�cr <br />�������,�i F����� . . . . � <br />Address • ��_�' -` .���!�� <br />Owner � � �'!�/��� .�i��/��� � <br />�. <br />Installer %�)�� �' � n . � <br />rL � �=� ' /�''n <br />cliy u( eVLfCti, by � ''' i' ' <br />— IMPORTf�'VT NOTICE — <br />All work must conform to thc provisionc o( tfie crdinances of the City of [verett, <br />Weshinyton. It is the responsibility ol the Permit Holder to see th;u CIry Inspectlon <br />Division is notified and the installation inspec:ed before covering. <br />Remarks and Correct�ons: <br />Inspection — Date Inspector <br />Cal! Back —Date Inspecror <br />Final — Date Inspecror <br />This Pemiit must be posted on Job be(ore Startinq Im�t.Jl�„„�����. <br />