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CITY OF EVERETT <br /> Application and G�e Installation Permit <br /> All Work to be Done in Accordance Iwl�li' � <br /> / � Ciry Ordinance <br /> • � <br /> � � � � � �', .� � � r , �. <br /> Everett, Washingron.......... � 1 <br /> . <br /> ....;.......1..,�......., �9.6.7. <br /> Location........��o...�..�.............. <br /> _ � .... .. .... ............... <br /> Owner............ , � <br /> . ................ .�..... <br /> , ., . . <br /> ' ........ <br /> �1ppHc�unf�:..!r.!:.� .. .. 1.'_ � �`' <br /> _.._ <br /> � . .. ...L....:......J � <br /> i .................. <br /> Rough piping (nspection _—— <br /> Pipe in oxc,ec;,4f 60' ._�__1 �as Stovec _�.___ <br /> Gas,refrigerarors ___�__ �G�s water heaters <br /> Gas space heaters to 70,000 B.T.U, input ___ <br /> , . <br /> ''?.'. <br /> Gas space heaters over 70,000 B.T.U. inp�t ______ <br /> G�as fuEnaces to 400,000 B.I�U: input __ <br /> Gas furnaces over 4Q <br /> �prQPfl-�iTc�ti ��p�r ___ <br /> Conversion units to 400,000 B.T.U. input <br /> Conversion units over 400,000 D.T.U. input __ _ <br /> $mall appliances____ <br /> __,_'___"----------__-_. <br /> ; � <br /> -----c-----�-..,_-��--- <br /> Call Back;lnspection _._ .. Fee Paid $�� r <br /> `_"r , <br /> ':?-ni--------•—_-__-------- -APPliwnt <br /> ¢Yn� � <br /> ^^T';"------�'-------- — <br /> --_.-'--------------�-�--- <br /> ic - <br /> F'lane'approved and perm�t 9ranted as requested herei�. <br /> � ' . <br /> 4�- - - Inspector <br /> QY I � <br /> PERMIi 1�'�, �;;ii�� <br />