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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Atcordance�with' � <br /> City Ordinance <br /> / i <br /> Evcrett, Washington....�.p....�.....:�......�3...!...., 19`.`'.. <br /> /� l..[Lf � ' <br /> Lowtion...I:L.i.7...............:`.�-0"t!t�:t'!J................_... <br /> 71 �.�. � . ,:it-..1� <br /> Owner.....__.....n..'....... .........�..:........... . ......... . <br /> Applicant....../Y...'.....l,�r:!..:.^" _ _ __ <br /> _............... <br /> Rough piping inspection - <br /> Pipe in excess of 60' Gas Stoves <br /> Gas refngeretors 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•,BfT:U, input <br /> Conversion units to 400,000 B.T.U. input _ __ <br /> Conversion units over 400,000 B.T.U. input <br /> Sm�N f�ppliances . - _ . _ _ _ <br /> � . _ ..:.._ _ _ i it�,._ <br /> Call Dack�lnsp ion fee Paid $ , ..,..,,.. <br /> ._,.,_, . _. � ���_' . _ . . � ARPlifar�r <br /> �4-Ty� � g � <br /> BYi; ..., _ _ _ � , <br /> Plans''approved nd Permit granted 3s requested Merein. <br /> . 11Y�Q8tO1j1 ;�� C�);'� � Inspecror <br /> By <br /> PERMIT 'd`.' '' ' � '7 <br />