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CITY OF EVERETT <br /> qpplicafion and Gas Installation Permit <br /> Atl Work to be Done in Accordance wlth <br /> City Ordinance <br /> /�CA < TIv ( .-: c ;' <br /> Everett, Washington..................... <br /> ...................... 19........ <br /> � 7 0 '� F..�I_..•,- <br /> Location ..�................................ ....;::�-..... ...... <br /> ....... <br /> . ..... <br /> .. y1 .� E f�. (.r� � <br /> C �...,'1A.�...,l.:...:. ', .�, <br /> 1t � ...........�....�......l....... <br /> �Wf10f.......!................. • /, <br /> �/ / i.��. <br /> 1 .l .r�/'1,.�.. CA.,-•- 'i' ����. <br /> ................ <br /> .. <br /> qpplitant .....:............................................ i <br /> Rough piping inspection . <br /> Pipe in excess of 60' Gas Stoves <br /> Gas refrigerarors Gas 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 /> Gas fumaces to 400,000 B.T.U. input - <br /> Gas furnaces over 400,OQ0 B:T.U, input - . -- <br /> Conversion units to 400,000 B.T.U. input <br /> Conversion Units over 400,000 B.T.U. in�+ut <br /> Small appliances_- ------ ` <br /> -� <br /> � � Ca ., � .;: . •- <br /> , „ , ct � ._,. . ..._- <br /> � .. ., <br /> __ _� ----- - � <br /> � � '- <br /> I Fee Paid $- .-..1_.. <br /> Call Back Inspection._- - ' <br /> %r' <br /> -�'•' " _ .'L- �'�'�'(' ��f�f�/r APPlicant <br /> � " <br /> SYL-li-/f,:•_._'_L�=�.�r� ��_ _ ._._ - <br /> y� 1 � ���. <br /> Plans approved and Permit gran�l�es requested herein. <br /> �� t ;: F..:'"•�-e.H Inspector <br /> / <br /> il, ��• <br /> By <br /> PERMIT ' ' � '' <br />