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CITY OF EVERETT <br />Application and Gas lnstallation Permit <br />All Work to be Done in Accordance with <br />- tity Ordinance <br />� _ � � ._ (, `, <br />Everett, Washington..........� :.....:...:.:::_--.:..:...::�, 19........ <br />_ � �7 <br />.� `' �' -•---..�::.nra"�,,.r-n.y <br />Location..--• .r.�..�........... ................................ <br />,�.1xhn -o ��.�u.u�+- - .7.... <br />Owner...........�...---.....�, � . " t - <br />. . <br />.. . ........ .. ........... ...... <br />,.. , � , .a. r �:�.k-:v..�.,.,�_ <br />Applicant----'�:.'.`.�."�.........---�--• ........................................ <br />� <br />Rough piping inspection <br />Pipe in excess of 60' _—._— Gas 5toves --____-. <br />Gas refrigerators _ 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 furnaces to 400,000 B.T.U. input — --- <br />Gas furnaces over 400;000 B;T.U,input — <br />� <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�lnspection = Fee Paid $-. ! -- <br />/x <br />V� _ `� _ 7 ?___. .. . _ ----�PPlicant <br />,,. . .CX�.9.f.Qt� � �..AeZ i . _.___..__. _—�— <br />. . ._. . . _. . , . .. ... <br />Plans approved and Permit granted as requested herein. <br />. fi <br />---(�j�a {a�u�i.;_:.-_.]O•:;� _Inspettor <br />QY-------- ------ <br />PERMIT �y �- g'� <br />