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CITY OK EVERETT <br /> Application and Gas Insfallation Permit <br /> All Work to be Done in Actordance with <br /> City Ordinance <br /> Everett, Washington.........../..f.��..�............. 19�..t"... <br /> .�� e <br /> �' / �.} ,: <br /> � S,E, � <br /> , i <br /> location......... '�... ................ ..:..... <br /> ...... ........^................. <br /> ' ' � _ :' 'i .. ._ ''. . <br /> �wiU_{< A, r . - , <br /> . ....."'..... ....:�........... <br /> Owner....... ....................�'t:........_ . <br /> � <br /> .. � , �,� . .. .. <br /> Applicant ............!.1.....4.�.....'..............:...................._... <br /> RougFi piping inspection _ ._�� � <br /> Pipe in ex�ess of GO' _ - _ Gas Stoves _ _ <br /> Cas refrigerarors _._ . Gas water heaters . '\� - <br /> Gas space heaters to 70,000 B.T.U. input -- <br /> Gas space heaters over 70,000 B.T.U. input . <br /> • <br /> Gas fumxes to 400,000 B.T.U. input _ _ _ <br /> Gas fumares over 400,000 B.T.U. inp�t - X <br /> Conversion units l0 400,000 B.T.U. input __ <br /> Conversion units over 400,000 B.T.U. input _._____ <br /> Small appliances - - ---- <br /> - ---.. .... _ � ^b.. .., . <br /> Call Back Inspection Fee Paid $.L' . , -.,--•- <br /> Applicant <br /> . _._, �1��� ; .Y�. :..�' � <br /> ay. . �- s. l� , . <br /> Pfans approved and Permit c�rented as rcquesled herein. <br /> %' ... . <br /> r.:J.'�f� ••���� '"'7 - Inspector <br /> By � <br /> PERMIT ' "': ' <br />