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CITY OF EVERETT <br />Application and Gas Installation Pcrmit <br />AIl Work to be Done in A.ccordante with <br />- City,Ordinance <br />, � ;: , ; - , � <br />,._. ,.,y� - ,. , ' ( ,.d... <br />�� G./ <br />Everett, Washington ............. • �' .!. 19....1.. <br />......... :......... ..... <br />O �afion....�so7....P............ P�,..._...... <br />.. <br />a <br />�� ' ' �,c `�.ylM�,d�.�. <br />ner....... � ............ .. ................�...................�..._....... <br />- �l +� .� Rx: , �;�.o«� , (.q . <br />Applicant�..' ................. ....:..--- ..... .... ...._.............. <br />Rough piping inspection _ � __ <br />Plpe'in excess.bf 40'; _� _ - __ Gas Stoves _ _ _ <br />G.�s refrigerat ls __ 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 />Gas furnaces to d00,000 B.T.U. input _ __ <br />Gas (umaces over 400,0OO..B.T.U. input ___ __ <br />Conversion units to 400,000 B.T.U. input __�_. <br />Conversion units ovcr 400,000 i;.T.U. input _- ___ . <br />Small appliances __ ____—__ <br />- — - - - —,— —. <br />-- _ _.__.-- -- - — _ � � � <br />Call Back Inspection/. Fea Paid $_---.-........_ <br />/1 •�J� �. PP <br />..,,.,.---------�_------ -A licant <br />Ry.. .._. _ C-�-�-- `_ � 7Z _ - - —. - <br />1'!ah5'approved and Permit granted as requcsted herein. <br />� - -v"r'.��"-�-.._.l ..___ Inspector <br />6y __ __ <br />PERMIT N`.' 1191 <br />� <br />