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CITY OF EVERETT <br />Application and Gas Installati��n Permit <br />All Work to be Done in Accordance'with'" <br />City Ordinance <br />I � � <br />, <br />� � n,...�•..r!-cl.:......., 19�v.J� <br />Everetf; Washington .......... .......... <br />, <br />�1' <br />r p / I <br />Location......- I /.� --�......! �4,9�V:�:�f'd.,.j....l .............. .... <br />,.; . . . .,. �. . . <br />/ �' ',) / ^ ('� <br />d��C.'�.h � ....r�4?�.._. <br />Ow ne r ........................ <br />ApplicanL_..._LS�.°�..'... jtr' ...... ........: ..:.'.....:.......... ._....._. <br />Rough piping inspection _ _� _. . <br />Plpe in excess of 60' _._ Gas Stoves �/ <br />Gas refrigeretors __ ,Gas wator heaters_(1 ... <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 400,000 B.T.U. input -___ _.._ - <br />Gas fumaces over 400,000.,B�T,U, inout _ __ <br />.:onversion units to 400,000 B.T.U. input __ _- <br />Conversion urits over 400,000 B.T.I'. input __.. _ <br />Small appliances .__-_.-.-_ __— . _ --- - - _---.,-� <br />_•__ . . ---- -- ---.. _____— t,�..,.. <br />_. � n a _ <br />Call Back lnspection __ _ Fee Paid $_.—. _..._ <br />, ,. <br />Arpl�c�-.* <br />D .:__ e�v-C�. G � ! v 'G �I `'� . _ <br />v <br />Plans approved and Permit granted as requested he�ein. <br />C i <br />- - � ��tit'0 �.fJ� '. _ � Inspecto� <br />aY ;l � )11 <br />PERMIT `". " � '+' <br />