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CITY OF EVERETT <br /> Appiie�tion ond Gas Installation Permit <br /> All Work to be Done in Accordance wRh <br /> City Ordinance <br /> Everett, Washington......I.X.C:,r1 ��7� lA'v S <br /> ....... . ..........Y ..... <br /> /� G n <br /> Location............. .�D.�...�t.�.�.4....11..�P�.�..... <br /> Owner........... .....1,' ...�. ....-A.^.:':...�'e-�............._ <br /> App�icanL..i........�.�. x'. � ,. <br /> ............a............:.......................... <br /> Rough piping inspection _ _. . . <br /> Pipe in excess bf 60' _ _• .. _ Gas Stoves _ _ _ _ <br /> 4 <br /> Gas re(rigerators ____-_.. - Gas water heaters...X___ <br /> Gas space heaters to 70,000 B.T.U. inpuf _ _ _ <br /> Gas space heaters o�Pr 70,000 B.T.U. input __ _ _ <br /> Gas fumaces to 400,000 B.T.U. input __ _ _ _ _ <br /> Gas furnaces over 400,000 B.T.U. input _ __ _ _ <br /> , <br /> Conversion units to 400,000 B.T.U. input - - <br /> Cor.version unifs over 400,000 B.T.U. input _ <br /> Small appliances- ------------------------------ <br /> _ . _..----- ----�— -------- <br /> M^�e� <br /> Call Backlnspection .___.___.-_ Fee Paid 5_ 1__:.,,�,_ <br /> .. _------- [--d----- - - .. — --.__ApplicaN <br /> By.. ___--- 6-�1Cas:�f�.�_�� •_'-� ���- '-•--- - <br /> Plans approved and PermA gra�ted as requcsted herein. <br /> __ _ �(;����-i�G . .: � Inspector <br /> �--- <br /> By �' �N • <br /> PERMIT '�o' '�`,n 1 <br />