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CITY OF EVERETT <br /> Application and G�s Installafion Pcrmit <br /> All Work to be Done in Accordance with <br /> Gity Ordinance <br /> Everett, Washington.....�:L/c.�K.......�.�...,' 19(1L.. <br /> �� , /� � . <br /> Locaf ion._....��.�.V... ..�..... . .. .:Hh4+.......... <br /> Owner_...:.......t!.f�h.:._._�...w!�:!:11.�-�.,........_ _.... <br /> Applicant............:....L.f.:.'SIl....�...................._...._..._._... <br /> Rough Diping inspection /` . . <br /> Pipe in e::cess of 60' __ Gas Stoves X - <br /> Gas refriperators Gas water heaters .X___ <br /> Gas s�ace hcatcrs tc JO,C00 B.T.U. input - -+]_ - <br /> Cas space heaters ovcr 70,000 B.T.U. input _ ___ - <br /> Gas furnaces to 400,000 B.T.Il. input —____— _ <br /> Gas fumaces ovcr 400,000 B.T.U. input __ ___ . <br /> . �� <br /> Cernersion units to 4(r0,000 B.T.U. input ____ - <br /> Conversion units over 400,000 B.T.U. inCuf _ __._ <br /> Small appliances___. . �.. ..- .___ �__..._�.�—_.- <br /> ._ ._.. ._._- - - _... ._ ... __._�...... <br /> Call Backdnspection Fee Pa�d $_.�- ..-�- <br /> . ..._.-— -._'-`"-------- <br /> _ _.._.- . ---- - P`PPlicant <br /> � � <br /> �y t± �ar 3_ __ ., __ . <br /> Piins�approved and�Permif grantrd as requesred hcreir. <br /> .F' ' <br /> ��,/ L_- ---... _ . . :�. . Inspectcr <br /> ,sY /�"� )')l.. - - - <br /> PERMIT N': ���1`�� <br />