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City of Everett <br />Date —i' '_ . J "_" / � <br />Gas lc�stallateon Permit <br />dEPARTM9ENT OF PUBLIC WORKS <br />Address _ <br />Owrier— - <br />Installer <br />City of Everett, by <br />' c. , <br />,_ _ �_,. a <br />Inspection Division <br />—IMPOAThtIT NOTICE— <br />AI1 work rnust- conform to the provisions of the ordinances of the City of <br />Everett, Washinc�ton. 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: <br />Inspection — Date � � � > Inspector ��� <br />Catl Back — Date Inspector <br />Final — Date Inspector_ <br />This Permit must be posted on Job before Starting Installation. <br />Permit !,''�'(��' <br />+c i;ti`it "Ft <br />