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CITY OF EVERETT <br /> Application and Gas Insfallation Permit <br /> l�II Work to he Donc in Accordance �wRh <br /> C:ity Ordinancc <br /> Everett, `.'ra�hington......�:�-'S.♦....�..Z..... ..., 19.�.0 . <br /> ,,,) /�� � ,f� <br /> i_ocafi.,� l.�.l....l�,a-:t�-4....(Ll..�..__. _. <br /> Uwncr_._.... ..•�:..T..'4.-�._....a�:3!-:�.._ ._.... .. <br /> �__ �J <br /> Applicant.........�..��.....�....._�'..�_...........__......._ <br /> Rough piping inspccfion /` <br /> Pipe in excess of 60' _ _ Gas Sioves <br /> Gas retrigerators Gas water heaters�( <br /> Gas space heatcrs te 70,000 B.T.U. input /�_ <br /> Cas space heaters over 70,000 B.T.U. input <br /> Gas �urnaces to 400,000 B.T.U. input <br /> Gas furnaces over 400,000 B.T.U. input <br /> C;nversion units to 400,000 B.T.U. input _ _ <br /> Conversion units over 400,000 B.T.U. input _ _ <br /> Sma!I appliances __ _ .-__----. -.. -- -- <br /> - ..._-- - - _ _..__.____ --/,-�--�-- <br /> Call Back Inspection _ Fee Paid $___L_ . <br /> . ...... . .. .. . _ ... _. .. __ . — _. . Appliwnt <br /> fiy. ._... _ �:.lX..C�.�CS �/ C . . _. <br /> ^lans approved and P rmit granted as requested herein. <br /> ����,-.� <br /> dZC.t�.,_ Insper�or <br /> ) <br /> �'i � �%�_ <br /> PERMIT V':' 1'_'t��l <br />