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Ci�y of EverMt <br />Date � � �- - � . <br />Appliances __ _ No._ <br />Ccnver,icn Units <br />to 400,000 BTUs <br />Cemcrsicn Units I <br />o��cr 400,000 BTUs � <br />Cookstoves � <br />_ '_Ji_ _.. _ _ <br />Ran9c Tcps — Ovens <br />F�.nnaccs tc 400000 �TUs.. � . .. <br />furneces ovcr 400,000 B1Us <br />Spacc Hcatcrs to 70,000 �TUs �� <br />S��ace Heoters aver 70,000 BTUs �� <br />Rclriqcmtcrs --- <br />\Voter Heeters <br />Piping ��_ <br />Pipc in exccss of 60' I <br />Clothes Oryers I <br />Ai- C���....�<ning Units �'i <br />--- � - �— .�.- <br />Pcrmit Fee . . . $ �'� <br />� _7 p c` <br />��:�'.�L� �7J-� <br />�ias Installatoon Perm�i ;, <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address —� ` ,>-G! 'C-:' <br />Owner_ �"��� ��.� - . <br />Installer �'- "�� <br />City of Everett, by_ --��� — _- -- <br />-�p�opR?�nttT !:vTIC�— <br />All wurk must conform to the provisiui�; of the ordinan[es of the City ot <br />Everett, Washington. It is the responsibility of tne Penn;r Holder to see that <br />City Inspection Division is notified and the installation inspected before <br />covcring. <br />Remarks and Corrections:•�t,��-�-�-w�`�" ��-/�- <br />Inspection — Date <br />Call Back — Date <br />Inspecfor <br />Inspector <br />Final —Date __ Inspecror <br />Tiiis Permit must be posted on Job before Starting Installation. <br />Pcrmit <br />