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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance <br /> Evcrett, Washington....�"-t..••.7•.f�-•••.•; ., 19v!._. <br /> Locafion....... �./��� /�� l.�`� ���w.,� <br /> OWl1nf........�.1..l..�.^�.`�..'......�-- - _--]...._. <br /> ........................... <br /> _ <br /> � �,. � <br /> . . ,�. . .. �. � � � . � <br /> App�icant�...l.�._.... ........ ..... ......._:..................._......... <br /> Rough piping inspection - <br /> Pipe in excess of 60' Gas Stoves . _ - - <br /> Gas s ac'eeheaters to 70,000 Gas water heaters�.___ <br /> a <br /> p B.T.U. input _. _ <br /> C;as space heaters over 70,000 B.T.U. input . _- - <br /> C;as furnaces ro 'q00,000 B.T.U. input _— __—_ <br /> Gas fu maces over 400�0OO..B�T.4. input _ --_.-_- - . <br /> Conversion units to 400,000 B.T.U. input —- _ <br /> Conversion units ovcr 400,000 [3.T.U. input <br /> Small appliances ---- ---... _..- - ----- ------_�____. <br /> _ _._��_.---- -... --- ----- --—�� <br /> Call Back lnspe.ction . ._..._._... Fee Paid $.-� f—•�• <br /> �--- — __-�_ - Applicant <br /> ..._. <br /> — - --- <br /> Dw.�c:� - -. _ ........ . ....---- - �--- <br /> Plons epproved and P�rm'it granted as requested herein, <br /> ti <br /> ' ;{;:z Inspector <br /> L'v <br /> l�-�. <br /> PERMIT ti`•' ��;�� 1 <br />