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CITY OF EVERETT <br />AppficaPion and Gas Installation Permit <br />All Work to be Donc in Accoidance with <br />City Ordinance <br />- r <br />Everett, Washington---.:..:'.`::::�� `.''....:. . : <br />, � .............. t9'�:.y�. <br />� � .. . , <br />.• � ,. <br />� -�' -. ,. ,',;,,, ...r. �:� . <br />Locahon � -- <br />.............:...................: ............................ <br />f `' <br />. <br />Owner.......' .r c r.. , ,, i :GE� .,. : / � ^_ <br />.......................................:..... <br />t ......:.:. ........... <br />: ,: <br />Applicant ...::......:.!:.: :.'.:' '::,... �::... �.: �.��� ................ _.... <br />. �.... <br />l <br />Rough piping inspection.__L�._.._.... <br />Pipe in exce;s of 60' _ Gas Stoves - <br />Gas refrigeretors _ Gas water heaters /t <br />Gas space heaters to 70,000 B.T.U. input _.___._ _._ <br />Gas space heaters over 70,000 B.T.U. input __ %� <br />Gas fumaces to 400,000 B.T.U. input x <br />Gas fumaces over 400,000 B.T;U. input ._ __._ __ <br />Cornersion units to 400,000 B.T.U. input _._. _ <br />Cornersion Units over 400,000 6.T.U. input ___. <br />Small appliances._ __._ <br />----+ ------- — <br />. -- - — -��_. <br />Call Back Inspection._ __.. _ Fee Paid 5_ �: "�'' <br />__ ---- _ Applicant <br />� � � -.r= �. . i 1, . <br />BY----� — �i_ � _ ._ 1.. . :: <br />Plans approved and Permit �ranted as requested herein. <br />' � "1 i,!• i� _ , <br />- � - Inspector <br />By. _ i .'( . <br />PERMIT - <br />