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CITY OF EVERETT <br />Application and Gas Insfaliation Permit <br />All Work to be Done in Accordance with <br />City Ordinance <br />.• / 1 <br />Everett, Washington........���..�.y�.........,A 19A.`�... <br />, `� �� �r�..... <br />Locat ion.....--. �.I.. �....�J. _....C.h�l.: ti�: `^:.... ......t .:,.. ..... <br />!I �} � / ,1 <br /><,�.o �'J . �.C�:G.�"..'.:--y...l . l.r........ <br />Owner.................................. �:. <br />// .,d s,-j . � ,' <br />Applicant.........(r.? .........1.-{ ............................................. <br />Rough piping inspection _1 _ ._ - <br />Pipe in excess of 60' _-- -- Gas Stoves - -- <br />Gas refrigerahrs .__-_ __- _ Gas water heater _.._____ <br />Gas space heaters to 70,000 B.T.U. input ._— X-- <br />Gas spate heaters ovar 7Q000 B.T.U. input _—__ —. <br />Gas (umaces to 400,000 B:�.U. input __--_--- <br />Gas furnaces over 400,000 B.T,.U. input ._ --- - <br />Conversion units to 400,J00 B.T.U. input ---- - <br />Conversion units over J00,000 B.T.U. input .__— -_- <br />�mall appliances_ _.---_-----'------------- -' <br />- -�----.._--..�----- �--��--------._ 6O <br />G <br />Call Dack'Inspection _ PeePaid $.._ - <br />_ -- --- - Applicant <br />y -- - - -- q <br />._. ._. �.• n�C'.L.�. 't.T_..L!__.�1 _<. ---•-•----- <br />B .. _ 1 <br />Plans approved and Permi4 granted as iequested herein. <br />,,.. ` . <br />, . (,� ��y e.��_. _ Inspector <br />� <br />[3y l � � _���.. — <br />PEflMIT �?`: '':`' '; <br />