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CITY OF EVERETT <br />Application and �as Installafion Permit <br />AIl Work to be Done in Accordance wi}h <br />City Ordinance <br />Everett, Washington �':Sf��....1 .............. 19�a..ir.. <br />Location....Cl..�:!-7..`t ..... �-.ri.-�.-''�c�......1'�.�tts�!.!.... <br />nwner. .Nl.-l.: �..�::r..�.L...l!%...../.`.Y...-G(.��4.�... ....... <br />,. , . . . .. . . <br />Applicant................... .�--.......................................... <br />Rough oiping inspecfion _�%- _. _ <br />Pipe in excess of 60' ____ _ Gas Stoves _�_. <br />Gas refrigerators _.__._. . Gas water heaters._X___ <br />Gas space heaters to 70,000 B.T.U. input _— ._____ <br />Gas spacc heaters over 70,000 B.T.U. input ____ .___.. <br />Gas fumaces to 400,000 B.T.U. input _—_._____.. <br />Gas furnaces over 400,000 d.T.U. inpu� _____— __ _ <br />Conversion units to 400,000 B.T.U. input __ __ <br />Conversion units over 400,000 B.T.U, input ____ <br />Small appliances__�_���.._._____ ___ _.. _�_._ <br />�,-- <br />Call Back Ir;pectiun ___ ____. Fge Paid S�__.�_ <br />�fr'. / [ � � <br />�•f:._�cai�.Y:.Ul�_�;i'1.G1.. ..f pplicant <br />By.. _._._.. .__.. __ ._ <br />Plans approved and Permit granted as requcsted herein: <br />y, , ` <br />G •J`� - "�r� Inspector <br />py , �6.,-,,., ,���, --_ __ <br />. � - .Ar _. . . _ _ _ <br />PCRMIT ' ; ` � <br />