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CITY OF EVERETT <br /> Applieation and Gas Insfallition Permit <br /> AIl Work to be Done in Accordance'wlth <br /> City Ordinance <br /> Everett, Washington...:.:....(„/.;�,..,��,,,� 1qEL� <br /> Location............ .��. ...Q..�.�iZ..........G�...�. r+fa........................ <br /> Owne r............... ....1:!0wi-�;..../..�.f:��54.l�..�. <br /> , :l� _ Q <br /> Applicant......:.....�t.�.�..:��...................�. <br /> Rough piping inspecfion ___ ..__ _ <br /> P(pe in excess of 60' _ Gas Stoves _ X _ <br /> Gas refriperetors __— _ _ �s water heaters.______.. <br /> Gas space heaters to 70,000 B.T.U. input _ _ <br /> Gas space heaters over 70,000 B.T.U. input ___ <br /> Cas furnaces to 400,000 B.l'.U. input __ <br /> Gas furnaces over 4�,Q�OpQ B;T.,I�� input ____ <br /> � <br /> Conversion units fo 400,000 B.T.U. input —___ <br /> Conversion units over 400,000 B.T.U. input __ <br /> Small, appliances-.---_.--_---�-.-----------_--�- <br /> _ -- __.�.,,�__�.�--- --------------- <br /> i , <br /> Call Back Inspection __ �..�._ Fee Paid $_��a___ <br /> . _.._. _. __._.__ --�- ---.�._.�_------ ---_.Applicant <br /> sY , .._.___�'�t,_a. +C,-+-__��_l=�Y —_ . <br /> ,--- <br /> Plans'approved and Permit grar�ted as requested �hereir:. <br /> �.� < <br /> H GJ � »ti.�. <br /> '! - --.%�. __�li D Inspetfor <br /> ��_ <br /> py � h �-.-� <br /> PERMIT N" '�r�i�I <br />