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CITY OF EVERETT <br />dpplieation and Gas Installation Permit <br />All Work to be Done in Accordance!Wiifi' ' <br />City Ordinante <br />Everett, Washington .......... ..... . �'........, 19�?.4i <br />. ....... <br />Location..:.....:/..�.2..�?.....�� a.r.t.!�.::��I.�:'�r.:�• <br />�%� .. . . �t . - r. .. ��/ <br />Owner.........�7..l:SS:+t!:A.,r_.t..---- �CY...........-!t�.fe!�c- <br />Applicant....�......���'.'�.-e.u?-n. �-�i49-- �/�i��. <br />......................... ........... ...... <br />Rough piping inspection <br />Pipe in excess of 60' ____ _ Gas Stoves __-v_ _ <br />Gds refrigerators Gas water heaters �.L� _ <br />Gas space heaters to 70,000 B.T.II. input <br />I �d <br />Gas space heaters over 70,000 D.T.U. input <br />Cas furnaces to 400,000 B.T.U. input _- ___ __ <br />Gas furnaces over 4.OD,OP,Q. ;B.T.U. input ___ _.__ <br />�. .. <br />Conversicn units to 400,000 B.T.U. input - <br />Conversion units over 400,000 B.T.U. input _______ <br />Smzll <ippliances._. _---------. __..___�----______.. _.. <br />- - _ _+_.�__--- - -- -----__--/-----�,.b ,-_ <br />Call Back lR;pection _ _._ _ Fee Paid $_..L_r =„r__ <br />,..._. ----�- . ___ __.�._..— _ __AR�licant <br />j.__. <br />gy;. �( /C� c �t', �` / - `%�- <br />, <br />_._.... - ----- ---•----- <br />�; , . <br />Plans epprcved and Permit r�ranted as request�d'herein. <br />_..r/ •-- � ' <br />Ii �.f'�+ � i G..Q <br />t-- �—= -- _ . _ _ j' . Inspector <br />i <br />��, T,� ���., <br />FERMIT '_��:' ',� ��r; <br />