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CITY OF EVERETT <br /> Application and Gas Installalion Permit <br /> All Work to be Done in Accordance with <br /> . City Ordinance <br /> i . n^/�/� 7 <br /> Everett, Washington.....(.i!.(„�... ,p<;.(�. ...., 19�n.1.. <br /> / • . .... <br /> Loca f ion.....�3,p..b.........�,� <br /> .. � . (. ���..... <br /> Owne r........i.:.��.4:2:`.-���......►r5:.'.�f�.:A�` <br /> .::�.r�......... <br /> Appl icanf..��.....C'�...:�l�:.-a4.i-.-..c).!. . <br /> .............................. <br /> Rough piping inspecfion __ T <br /> Pipe in,exceas 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 furnaces to A00,000 6.7.U. ihput _ _ <br /> Gas furnaces over 400,00 . B.T.J. in ut . <br /> Q s,,. . P - -- <br /> Conversion units to 400,000 B.T.U. input _____ _ <br /> Conversion units over 400,000 B.T.U. input . ___ <br /> Small appliances. _..._...____._�. <br /> . ,_._.....` __,--- _ __ - - - <br /> Call Backllnspection . Fee Paid $_,� �r, <br /> �y " - - . .A licant <br /> _ - - PP <br /> B .� �� . <br /> �� �' _ _ ___.., <br /> Plans approved and Rermit granted as rr.quested herein. <br /> „�F� t <br /> �'���!' In�pector <br /> er i/l. �jC,_. _ <br /> PERMIi '�;;� .,�. i; <br />