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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 BTUs <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 />Permit Fee S - " <br />Gas Installation Perilr*� <br />DEPARTMENT OF PUBLIC WORKS <br />Address --- - <br />Inspection Division <br />Owner--- -- - - - <br />Installer -—-- <br />City of Everett, by — <br />—IMPORTANT NOTICE — <br />All work must conform to the provisions of the ordinances of thu 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: �1 y <br />k -A <br />Inspection —Date-.------ Inspector_ -- <br />Call Back —Date— Inspector-�/�N_-- _ <br />Final — Doe I �_ 6 s Inspector_'S�.%--- <br />Th:s Permit must be posted on Job before Starting Installation. <br />Permit <br />