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City of Everett <br />Datc . __.- .—.. _ . _. __ _ <br />ppplianees ' No. <br />__— _-..--__—_I�_ -- <br />Convcrsion Units � <br />to 400,000 6TU5 � <br />_---- <br />Cnnversian Uni1s <br />over A00,000 BTUs <br />Cookstoves _ <br />Ran9e Tops — Ovens <br />furnrtes to 400,�00 6l'Us <br />� <br />Fumacc. ove noo,00n oro__ <br />Spoce Heatcrs�00 BTUs_I <br />$p cc Hcatcrs over 70,000 L�TUs � <br />refri9emrors � <br />I�-Watcr Hcaters i <br />Pipin� <br />pipe in esress af 6_0�___ <br />a�,�i,es o�yc�__—� —,__._ <br />i :�Jr Conditionln9 Un� <br />i __-- <br />I, <br />Pennil �cc . . • 5 � � � <br />��� ��s�allaitioae Perrr''t <br />DEPARTMENT OF PUBLIC WORKS <br />Inspecfion Division <br />Address_ �- _ _---- --- ---- — — — -- <br />Owner - -- ------'— <br />Installer_: � � <br />,r, b ---- -- <br />_-- <br />City of E Y ---�—'- <br />-IMPORTANT NOTICE— <br />All worlc must conform to the provisions of the ordinances of th2 City o1 <br />Everett, Washingtrn. It is thc responsibility of the Permit Holder to see thai <br />City Inspection Division is nolificd and the installation inspect� d .:tore <br />covering. <br />�� /� /Of <br />���,���� �n,���; _. _ _ <br />Remarks and Corrections _-_�^'--��'� " <br />. _ tr_'k:.�..f _t�(i9 <br />-- ____ _ . _. _ - <br />Inspecfor _� .. _ .. <br />hispection —Date- ___-- --- <br />._ Ins�,eetc:r ..._. _------ � <br />Call Bacic —�'�:t-_ - t�„ <br />�_��_ G F Inspect.�r �Cr��y .__.__---- - <br />Final — Date i ' - — <br />T!iis Pcrmit m���st b�: pnsted on 1ob before Starting Installation. <br />Pe�mit <br />