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CITY OF EVERETT <br /> Applicafion and Gas Installation Permit <br /> All Work to be Done in Accordante with <br /> City Ordinance <br /> ( �,,. • . <br /> Everett, Washington.....�ie."' .."""'........::t.�......., 19.'".y.. <br /> L«ation .;� N �, � ..1..E.r..,.«� <br /> .....................r.r................................................... <br /> �� : � <br /> (tM1 l.�l/J11.ti(Q.L . <br /> Owner..............�.............................................................. <br /> �,� � <br /> Applicant ...................�..'...........�................................_.... <br /> Rough piping inspettion.. - x�_ <br /> Pipe in excess of 60' _ - . _ Gas Stoves - <br /> Gas refrigeretors Gas water heaters <br /> Gas space heaters to 70,000 B.T.U. input .-___ .. y <br /> Gas space heaters over 70,000 B.T.U. input - <br /> Gas furnaces ro 400,000 B.T.U. input . <br /> Gas fumaces over 400;000 9.T.U, input _ <br /> Comersion units to 40J,000 D.T.U. input - <br /> Conversion Units over 400,000 B.T.U. input . <br /> Small appliances- __ <br /> . ----__ _ — — — —r4_. <br /> ro <br /> Call Back'Inspection _ _ Fee Paid $__�__'�_ <br /> ,; � <br /> . .J�..'f� .1___�.. L:rL�_.-e.y✓.x.-. .. . . . Applieant <br /> B1'----- ----- - _ <br /> Plans approved an� Permit granted as requested herein. <br /> ti./t�' �"� , , .`�-- Inspetfor <br /> Dy <br /> PERMIT ��� � �� � <br />