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CITY OF EVERETT <br /> APP��cation and Gas Insfallafion Permif <br /> All Work to be Done in Accordance with <br /> C��y Ordinance <br /> Everelf, Washin ton....(,Y � <br /> 9 ' 6 � <br /> �--.� f <br /> .... ......... <br /> .� , 9... <br /> Locat ion.. .._ �� <br /> .�c <br /> ........... ...�..�.. <br /> � �. ..... . <br /> ..... ..... ........... <br /> Owner.._.... , ' � <br /> . .. ......... <br /> ___ . . ..... ...:�` <br /> J � .. ........ <br /> ApplicanL.............'.f.....:G.�...�....... <br /> �....................... <br /> Rough piping inspection _[1 <br /> P�pe in excess of 50' _ _ <br /> Gas Stoves _ <br /> Gas refrigBrators <br /> - Gas water heaters <br /> Gas space heafers to 70,OOG B.T.U. input . <br /> Gas space heaters ovcr 70,000 B.T.U. input <br /> Gas furnaces to 400,000 g,T,� ��P�� <br /> Gas furnaces over 400,G00.8.T.U, tnp�� <br /> Conversion unifs to 400,000 B.T.U. input ____K <br /> Conver;ion units over 400,000 B.T.U. input . _ <br /> Small applianees <br /> Call Back Inspection �J op <br /> Fee Paid $_ 1.._ ---... <br /> ��pplitant <br /> Dy.. � <br /> Plans apprcved and permit granted as rcquested hercin. <br /> ..A'�^ <br /> L�ur'�':�q y�,� <br /> �Y �J� f Inspecror <br /> PERMIT *;�� , . � � <br />