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CITY OF EVERETT <br />Application and Gas Installafion Permit <br />All Work ro be Done in Accordance'With <br />City Ordinance <br />� / " <br />Everett, Washinbton..::.....l.�t.-l.�:h..*�..�..., 19G:..�'. <br />+ • o � <br />Location...,..�.���.!2.�.....! �.....;:r`�"i;� ......................... <br />Owner......::.�%`.4'.ft:'k.f�-�-PC�`r....ld . . .... . � <br />,. ... � /�^''�S ,-` � ,� y�� ;� � , <br />%ppl icant.....�..1'.Y.: �!.(h.:..:�-:'.9�.}�!:`.:y� ...................... _. <br />. ., . :, .i � ` , . . . .. <br />Rough piping inspection _.- �� �( <br />Pipe in excess of�60'�; _. �, �Ges Stoves _�11 <br />� <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.7.U. input _—._ _-- <br />Gas fumaces over 400,OOQ ��;T.IJ, input ___ <br />Conversion units to 400,000 B.T.U. input __-- <br />Conversion units over 400,000 B.T.U. input _--- <br />�,. � �.�-�. <br />Smal�� aFPliances- �'�+�1�- . .- -- -_.._._._._._a__.; .. <br />! <br />�.S�.4E„=.,.:_ �i�,_k? _ . *,__ <br />Call Back Inspection Fee Paid $.11.. �.,-• <br />� <br />,_.. : . _ _. _ ___ _ .. .Applicant <br />ey.,�,..�C.�.�.e.i'c.'� ,�..Y.��.Z.. , — - <br />plan's'apdrovco and Permit �rarfted as rcqucsted'�Herein. <br />S' <br />���G'1y�4`y(.' ..`t�.' Inspe�for <br />� 7 <br />�y _'f �).1 <br />PER�IIT ''; :' ,,."...i; <br />