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City A Everett <br />Date — — — <br />Appliances No. <br />Conversion Unit <br />to 400,000 BTUs _ <br />Convenlon Units <br />over 400,000 BTUs <br />Cookstoves <br />Range Tops —Ovens <br />Furnaces to 400,000 BTUs <br />Fumaces 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 />Alr Conditioning Units <br />1 ►rrrnB p.e 3 <br />Gas Installation Per it <br />DEPARTMENT OF PUBLIC WORKS <br />Address -- <br />Owner. -- <br />Installer - <br />City of Everett, by. _ <br />Inspection Division <br />—IMPORTANT NOTICE -- <br />AI: work must conform to the provisions of the ordinances of the City of <br />Everett, Washington. It is the responsibility of the Permit Helder to see that <br />City Inspection Division is notified and the installation inspected before <br />coverinrl. <br />Remarks and Corrc,:tions: <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 />