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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> City O^dinance <br /> Everett, Washington.........���...�•�....... ., 1�...�. <br /> f / ,/ � ' (, (� n <br /> Locat ion.....a.:.7..4�.Y.........C::4:�u.fr.^:.ti ar.,.A'S._........ <br /> 111.a,� ' <br /> ON•ner......... . s1....... :L;l��:ll�.......... <br /> �....... <br /> Applicant...�..............:cY.�-� ........:....................._...... <br /> Rough piping inspection _ _ � <br /> Pipe in exces4 of 60' _ ._ -_ Gas Stoves _ _ <br /> Gas refrigerarors _ _ Gas water heaters y_.__.__- <br /> Gas space heaters to 70,000 B.T.U. input !�___- <br /> Gas space heaters over 70,000 B.T.U. input _ .---- <br /> Gas fuinaces to d00,000 B.T.U. input - -. -- - <br /> Gas fumaces over 400,000 B,T.U. input -- <br /> Conversion units ro 400,000 B.T.U. input ___ _ <br /> Conversion units over 400,000 B.T.U. input _ - <br /> Small appliances - - --- - -- _ -- — -- - .. <br /> - •�-•----- - - - --*....•— <br /> ' v� <br /> Call Back Inspection Fee Paid $.-1- -�".-....-,- <br /> � T -- ApF�liwnt <br /> ,.,�:.�.. _ ;��.._ A <br /> �fu� �.Y�n � I INA1".�M�.� <br /> SYK -p "_". - -. ... <br /> Plan�+ 6p�ed and Permit granted es rcqucsled hetein. <br /> � <br /> 11t,..�fti�„�; �'�:[, Inspector <br /> a,, 1( � �� <br /> PEAMIT ''�:`.' " '' � ' �� <br />