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CITY OF EVERE7T <br /> Application and Gas Instailation Permit <br /> All Work to bc Done in Accordance with <br /> � City Ordinancc ' <br /> Everett, Washin ton.....� b�-F-..P�.�.......,i` 19('�.. <br /> 4 , .'�.:,,.;:.. . <br /> r Q t { � , <br /> � <br /> Lccation_.L?!..1L..�?..�7.�......�._..., ..�. ........ <br /> Owner.............4.'.f���...:.�P�K.S�L..i............._..._. <br /> .�.......� <br /> � <br /> . �7 S��' ._.. <br /> _ ............. <br /> Appl itanf....'........... ...l..t..Sl........................ <br /> Rough piping inspection _ .X- - � <br /> Pipe in exce,ss Of 60' . � . - Gas Stoves . � -_ <br /> Gas reirigerators _: ___.. _ Gas water heaters __x__-_ <br /> Gas space heaters to 70,000 B.T.U. input _ � <br /> �as spacc hcatcrs over 70,000 B.T.U. inpuf <br /> Gas fumaces to 400,000 �.T.U. inpur <br /> C;as (urnaces ovcr 400,OOp B.T.U. :nput . <br /> Conversion units to 400,000 B7.U. input ___ _.. <br /> Conversion units ovcr 400,000 �.T.�� input . _ - <br /> Small appliances --__-- - ----- ----------------- <br /> _ •_'�.'_�' __. <br /> -------------------- ----�yC--- <br /> Cali f3ack lnspection . _._-__- _ Fee Paid S_�_- -;'_- <br /> . ..._,-_-'---------------'--- ' / <br /> --...-- .--._._..Applicant <br /> � � �� � �_•�r � 7�7 --. "---- <br /> _ .._._ - _._ _ .. <br /> 3y.. .___.t, - - _ <br /> Plr.ns approved and Pennit granted as r�qucsted herein. <br /> �_ r <br /> � � °��ti �-' Inspector <br /> :✓.i�_.._. . :�_-`'- <br /> .� � <br /> t�y ' �. - <br /> PERMIT \:' ������ <br />