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CITY OF EVERETT <br />Application and Gas Installation Permit <br />AIl Work to be Done in Accordance'with <br />City Ordinance <br />Evereft, Washington...,.....,. ��-�!. , , ' <br />�./_,,�,_�,p .....2.�....., ,s�a.�.. <br />Location...�! O oZ I..%... � 1.(tt../�,....��,.... <br />'Il , _ -- � <br />Owner.. �,W,t,QQt,4,�y�,......t�..` P'L'-y', c.. . <br />APPlicanf....�/�. ��.:..A..:........._J ............................ <br />Rough piping inspection _ ._�_ _ <br />Pipe in excess of 60' _.___ __ Gas Stoves <br />Gas refrir�erators ____ �Gas'water heaters______ <br />Gas space heaters to 70,000 B.T.U. input ___ �__ <br />Cas space heaters over 70,000 B.T.U, input ___,_ <br />Gas fumaces to 400,000 B.T.U. input ________ <br />Gas furnaces ovcr 400,000. B.T.U. input _ ___ <br />Conversion units to 400,000 B.T.U. input _ <br />Conversion units ovcr 400,000 B.T.U. input _____ <br />Small appliances ___ ____ _ <br />Call [3ack Inspection _ __ Fee Paid �� � � <br />,, � $_-�-_._.._._ <br />_ __----_ %�.� , ;� . . <br />,�I — — � -- 7— _ APP�icant <br />Uy... ___-. �inb'�-�1- _ �l..! <br />Plons approved and Permit granted as requested herein. <br />A <br />�� <br />���•'i{ r Inspeclor <br />� y. <br />PERMIT �;" I;.1G <br />