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CITY OF EVERETT <br /> - . Application and Gas Inafallation Permit <br /> All Work to be Done in Accordance with <br /> Ciry Ordinance <br /> [eerett, Washington.......'...'_.�...::i...'................... 14.... ... <br /> � ., - ,. /. _ <br /> ,. � ; �/ �� ! ..., .... r. ...7`' <br /> LocaTion ........... ......... ............................. <br /> , . O , _ <br /> , <br /> • .. � � ., c,,:.`.:.....�.. <br /> Qwner.._..�........ .......�.�., .... ........... . ................. <br /> ��.��.r1-,;- <br /> Applicant .........:... ....J.........................__.................. _... <br /> I <br /> Rough piping inspection_-x . <br /> Pipe in excess of 60' Gas Stoves <br /> Gas refrigerators- Gas water heaters �� <br /> Gas space heaters to 70,000 B.T.U. input .__ ...__. __ . <br /> Gas space heaters over 70,000 B.T.U. input _ <br /> Gas fumaces to 400,000 B.T.U. input x <br /> Gas fcrnaces over 400,000 B.T.U, input - _ <br /> Conversion units to 40G,000 B.T.U. input . <br /> Conversion Units over 400,000 B.T.U. input - <br /> Small eppliances__ _ _ __ �_ ._,.;_� <br /> �� :�t. .. � �. L ! � .I .i �r ' . <br /> ___—_.�.��__+.—_.—__�___—_ -_____... ___�::..�. <br /> � _ <br /> Call Back Inspection _ Pee Paid $._ � ''� .^_. <br /> -- _ __. . _ Applicant <br /> �•� <. /t 'r .. �' %L <br /> BY-- -- - - - _ __ _'_ _ <br /> Plans approved and Permit gianted as requested heYein', <br /> r-,., � <br /> '"l:'%. n"�..'.'„t ' . � . .Inspector <br /> 8y '� `�' � <br /> PERMIT �> > ����- � <br />