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� <br /> CITY OF EVERETT ' �� <br /> Applicotion and Gas Installation Permit <br /> All Work to be Done in Accordance lvith` �" <br /> �rl � � , _. : .City Ordina .. � <br /> � �,� ., � � . <br /> Everett, WashingtoGn..::.:................::.::.:�..:,�.'..., 19.`, � <br /> Location....�..3..�E .....l,.�u!:l�nt.'!!�.'........................ <br /> Owner....... (�I S�K.M..'�l.....1..�..-.e..�. .(��ai"' <br /> j1 a.•:•..:....................... <br /> , � i �:P li�•�^'�'' �,. ,,.i <br /> Applicant.: .....�...........................:............................... <br /> Rough piping inspection X__ _ <br /> Pipe in exc�oF(60' _- ,s Gas Stoves _ <br /> Gas refrig9ra�ors _-1�� _ _ C,as water heaters <br /> Gas ,space heaters to 70,000 B.T.U. input _—.—� <br /> ...� ��:I.1 � .._. � - . . <br /> Gas space heaters over 70,000 B.T.U. inpuf -- <br /> t,as fiimaces td�400,000 B.1`.U. ihput __ <br /> Gas fumaces over 40O,QP�Q��T�.,U� input — <br /> Conversion units to 400,000 B.T.U. input <br /> Conversion units over 400,000 B.T.U. input _ <br /> Smay appliances___- ____..._. .____ _._ <br /> �'----�--i; <br /> �.___,..`.—- �_ - - -- -- <br /> _ r,�" <br /> Call Backh�;Rection _ _ Fee Paid $_� <br /> (� � i'�rm-c- <br /> �,�. — J-�! -'_`_i_ , , -- - —_ Apgli2ent � <br /> B�kk�g:LM��- - _�.��._�..._._.�__.;Y�."' <br /> I'lans approve�d Perfn^��,yreMed as;requested Fie�e�n. I <br /> �+�A}''9`�.-' ';'?3'' _ - .Inspector i <br /> By _. .. _ _ _ __ _ <br /> PERMIT ��^ � � "!� <br />