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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Donc in Accordance wlth <br />City Ordinance <br />� i <br />' � ' 1 i �� <br />Everett, Washington ...............:......................... 19........ <br />��j �� / l; c.�,..< /`� • _ <br />�. : � -5� . <br />Location........................... .........1............ .................. <br />Owner.......... r. {� . /_ �/; ., t� o,.� <br />/ ....................................... _.......................... <br />Applicant (.'��••.o:...�.. ,.y ) 1_�(_:• �.�:. <br />--.......... � ............................................._....._.... <br />Rough piping inspection .. . . `_. _. . <br />Pipe in excess of 60' Gas Stoves <br />Gas refrigerators _ Gas ,�aten c�aters <br />Gas space heaters to 70,000 D.T.U, input __.__..__ _ <br />Gas space heaters over 70,000 B.T.U. input <br />Gas fumaces to A00,000 B.T.U. input � <br />Gas furnaces over 400,000 B.T.U: input ___ <br />Conversion units fo 400,000 B.T.I,'. input _ <br />Conversion Units over 400,000 B.T.U. input <br />Small appliances_ _ _ _ <br />---- __ - — __ ---- <br />%% II �� <br />/ <br />Call Back'inspecticn __.__ Fee Paid 5 �_______ <br />- --- - - - l,�_ _i �1 _.. _ . _ Apphcant <br />� {''6�;3 <br />BY----- L-�v-"-Q'- - - -- -- <br />Plans approved�d Permit granfed as reque5ted hercin. <br />/i��� �. <br />- . . - - "1 . � .Inspector <br />[3y <br />PERMIT <br />