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Ci�y oi Ererett <br />Datc _ — - . - -. - <br />Gas Installation Pern 't <br />DEPARTMENT OF PUBLIC WORKS <br />Address_ <br />Owner <br />Installer. .___ <br />Ciry of Evcrctt, by <br />�,. <br />Inspeceion Division <br />—IMPORTANT NOTICE— <br />l�II work musf confor�n to the provisions of the ordinances of the City ot <br />Everett, Washingron. If is the responsibility of the Permit Holder to see thit <br />City Insprction Division is notified and the instailation inspetted before <br />covering. <br />Remarks and Correctinnr <br />Inspecfion —Date ._ _ ._ Inspector _ _ <br />Cail Back — Date__ __ _ _ Inspecror. _ _ __ <br />F�nel --Dat� _------ Inspecror_ .- - -- -- <br />This Pen• � i�t be posted on Job before Starting Installation <br />P:�rmif <br />