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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance wiih <br /> City Ordinance <br /> ; ,. <br /> Everett, Washington...:,`:�. ' "'�................. 19'.�.y <br /> : <br /> ......,,.... <br /> „ 1� / <br /> • -r�� / / Y �1?-!�--o1—fFw-tc��'�— <br /> i <br /> Locahon ..... ..:..........�.. ...,......--�--......_-/-���--:..� --..... <br /> ... - <br /> , :, � � ;; �-� <br /> ;,_, ..� : <ti.,.: ., __�� _.�. <br /> Owner.......i..... ................:.......�---•--....,.---'�--�-•-••--�--��----' <br /> . , <br /> `/„ �,, <br /> Applicant ......1.:.:.f n.�...:�z.t _��"� ......... <br /> ...--------.........�- <br /> Rough piping inspection_-�-- <br /> Pipe in excess of 60' _ _ _-__ Gas Stoves __._.____ <br /> Gas refrigeretors_ - - .—- Gas water heaters___-_ <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 D.T.U. input _ _____ - <br /> Gas furnaces over 400,000 D.T.U. input -____- ! <br /> Conversion unifs to 400,000 D.T.U. input _ ____ - �, <br /> Conversion Units over 400,000 B.T.U. input _.___ - <br /> Small appliances----.----- ---- - <br /> - -� - - , ` =�r-.. <br /> �. <br /> Call Backlnspection _ Fee Paid $--_;___-' <br /> ---- --- ---APPlicant <br /> � �� �rz . �, <br />. , o .jF • L- , z, <br /> BY- - ---- - <br /> Plans approved and Permit granted as requested herein. <br /> �. <br /> ...r . � <br /> --- ! �..:'r�..✓o'.,_�---- <br /> __Inspector <br /> -_— , <br /> ��� , J�� <br /> BY- --- _ � - ---- - . _ _ _ <br /> PERMII' ' ' <br /> �y �����n�. <br /> 7 � <br /> , �s. <br /> t <br /> 1 �as�."� ;,��A <br /> ` � � -r���,�� <br /> w ','eS � "��,�Y��.r�',i <br /> :-#. .__' � .'�`. <br />