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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accords^re wlfh <br /> Cify Ordinance � <br /> �. : 1 4 . <br /> Location........... . S?.......�.� � J . / <br /> ,. , <br /> Everett, Washington........ Cy.. .�.1,,,,,,,,,,,,,, �q.y J... <br /> �.. 2 o G:��::,�...�.. ................ <br /> ... <br /> Owner................�:.''..^.?Y:�......�*.�4-K?:gin............ <br /> Applicanf�..._..i1,�1.:7:P.zu::!4:���:':��........ <br /> Rough piping inspection _ _ � <br /> Pipe in excess oP 60' _ ._ Gas Stoves _ _ __ <br /> Gas refr'ignrators Gas water heaters...__� <br /> Gas space hcatcrs to 70,000 B.7.U. input x_ _. <br /> Gas space heaters over 70,000 B.T.U. inpuf . __ _.. <br /> Gas fumaceS.to 400,000 B.T.U, input ___ _ <br /> Gas fumaces over 400�000 :B,T.U, input <br /> Conversion units to 400,000 B.T.U. input __ i <br /> Conversion units ovcr 400,000 B.T.U. inpuf __. _ _ � <br /> Small appliances . __._. _ <br /> __--�--.••-- -- - - __��- <br />, -�,�.. <br /> Call Back Inspection _ Fee Paid $--'l_.�.._,....,_ <br /> / -/-- APP�licant <br /> . > <br /> BY_. ..... ._ �.�1�C< ..,�i �_I L� �_.4. .. <br /> .. _ . _ � �...._ .. <br /> Plans approved 'and PeriniYt�f�nfCd es'n�r�uesled hereir <br /> /,� '1' <br /> . ��::��T�t•}f_S:l'liC . Inspecror <br /> / 1LNC <br /> oy (�l" /�1. . <br /> PERMIT T: ' " r!� <br />