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CITY OF EVERETT <br /> Applieation and Gas Installstion Permit <br /> All �Nork to be Done in Accordance'wt�K' <br /> City Ordinance <br /> Everett, Washington..... .... ...•. ..........f...�., 19�?.� <br /> Location.....7^..�..�.G....-..���!ta��-.......... <br /> Owner......../' "•`•�-. ..�.4f�[.U�;s!lut;:•_•..r............ <br /> �. .�J <br /> Appl ic�ant................G,l••..�.�................................. <br /> Rough piping inspection _�_ _—. <br /> pipe in excess of 60' _ __ — __ Gas Stoves _� <br /> Gas refriy��rators _..____.—._ ,Ga�s water heaters yx <br /> Gas space heaters to 70,000 B.T.U. inFut ___-11.— <br /> ,� <br /> Gas space heaters over 70,000 B.T.U. input _—__.—- <br /> �es fumaces ro 400,000 B.T.U�.� input -- -- - � <br /> Gas f,�maces over 4QO�qop.�s,T�, input _- -___ <br /> Conversion units to 400,000 B.T,U. input - - <br /> Conversion units over 400,000 B.T.U. input ___ _— - <br /> $mall appliances---. -- <br /> - ---__�._.�,..�—_— �- <br />" CaII Dack�lnspection _.._____.._ Fee Paid $,_.� <br /> �.. <br /> � ____�__Apj.liwnt <br /> r <br /> � . ' ._�___-_-_-.'__.-__'__-_._+-rZ_"_ <br /> Pla�i!'Ap�Jroved and Per it granted as •equested herein. <br /> --.` � � � . _(;��.� —.-_ Inspector <br /> QY _ ' iJ �— _ — - -- ----- - <br /> PEBMIT N`: 4���5 <br />