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CITY OF EVERETT <br /> Applicafion and Gas Inatallation Permit <br /> All Work to be Done in Accordance"w'i4h <br /> Cify Ordinance �- <br /> ,, 1 <br /> .• • .� . �� �.. �r <br /> Everett, Washington..:.. . .. :,.... .... ......... 19�r.i�. <br /> Lncation..�_....I...:7..��..r�{.....`'f�� . ........ <br /> , . /�, �.- ; l� <br /> Owner.............�..���:W.....I:.�:�.44:-!G�^'.'. .........._... <br /> A I',, ; � r �:Y'"Y� ', � 1 1 ; , <br /> PP ' t <br /> canP..:...1... . ....... .. ...................�...................... <br /> Rough piping inspection _____.. -___ <br /> Pipe in exces3 of 60'��---- : Gas Stoves _ _ <br /> i , �( <br /> Gas .relrigerafors � _. - _ ,Gas water heaters_.L�—. <br /> Gas space heaters to 70,0)0 B.T.U. input _ _ ___ _ <br /> Gas space heaters over 7C,000 B.T.U. ir�put��—_____ <br /> f,as furnaces fo 400,000 B.t.U. i�put _ —_ <br /> Gas (urnaces over 40n�00�q.,B�T U. input —___ _ <br /> Conversian units to 400,000 B.T.U. input __ <br /> Conversicn units over 400,000 B.T.U. input _ <br /> SmaII aPPliancec..� —...____� ...___..__._._...7`,. <br /> �.�..�.,,._— ---- . _.-- - ----�-� <br /> Call Back'Inspection ..- ____ Fee Paid $..�"�. <br /> � � <br /> �-,�.9; --- —_-_._ � .... .___.._�_ .____._....A9plicant <br /> �N;� ,......r. _L:..I'�'.�/t._;�..��LJ.._,_13_W.... <br /> Plars approved and P�frrijj granfed as rcquested lhtireiin <br /> ��4�{��U Inspe[tor <br /> gy (�_f�- <br /> PERMIT N° :��a ;' 1 <br />