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City of Everett <br />Date - - - - -- - <br />Appliances Ne. <br />Conversion Units <br />to 400,000 BTUs <br />Conversion Units <br />over 400,000 BTU$ <br />Cookstoves <br />Range Tops —Ovens <br />Furnaces to 40,000 BTUs <br />Furnaces over 400,000 BTUs <br />Space Heaters to 70,000 BTUs <br />Space Heaters over 70,000 BTUs <br />Water Hraters <br />Pipino <br />Pipe in excess of 60' <br />Clothes Dryers <br />Air Conditioning Units I - <br />Permit Fee . . . $ <br />Gas Installation Perm- <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address ---- - - -- --- �'� <br />Owner <br />Installer_ <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 befora <br />covering. <br />Remarks and Corr,+ctionsl itt A UblIj eve n l oo /s A 00j" , <br />� t A444.A <br />Inspection —Date-___— Inspector- ------ — <br />Call Back — Date— Inspector_ _ <br />Final — Date 6 " Inspector!" • <br />This Permit must be posted on Job before Starting Installation. <br />Permit 896 <br />