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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Aaordance 'wifh <br /> �-, City,Ordinance <br /> , � . <br /> Everett, Washinoron.......��..�..�.....:., 19.�� <br /> �.y - <br /> - <br /> Locet ion.r......J�.3...�.p.._'.�.�t.u_�.+a-4.�..... ... <br /> � ) � <br /> r� - - •• <br /> PP r..)...:.... .11.:1A..+......l.R��...c.�.......... <br /> ...... ....... <br /> A li'' _ . p � <br /> ne <br /> t'dnt�..,....-�-.���;rrf�y,r��,- . �. <br /> ............. ..... ..^..fC.... ......... �' � ..Ll....: <br /> Rough piping inspection _____ _ <br /> Pipe in �xcess of 60.' :c.�--- Gas Sroves --- <br /> �., <br /> Gas refrigerators -____ iGas water heaters�_ <br /> Gas space heaters to 70,000 B.T.U. input __�____ <br /> Gas spate heaters over 70,000 B.T.U. input _ ___ <br /> Gas fumatfes to 400,000 B.T.U. input ______ _ <br /> Gas furnaces over 4 0�)00 B T U, in uf __ <br /> P„ �._�. , �,. ,,, p --- <br /> Conversion units to 400,000 B.T.U. input _ <br /> Comersion units over 400,000 B.T.U. input _ _____ _ <br /> Small appliances____�_____ __ <br /> ---r--- . , ------ , . <br /> Call Backjlnspection _. _._�.__ Fee Paid $ L � <br /> i � --�,�;--�-,- <br /> i� -�i� , l �� � �q{�licant <br /> _�"��+ ,� <br /> �y';T—. i - ------- ,- <br /> �,� <br /> Plal�§�A�proved dOd+Permit granfcd ai�re9u�sted he'reirf� <br /> . — �-- - �� ,¢�����1:11__.�_ Inspector <br /> ❑y " " �' - —__ — ---- <br /> PENMIT I�':' �1r;35 <br />