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CITY OF EVERETT <br /> ppplication and Gas Installation Permit <br /> All Work to �'tyD Ordinanceordance with <br /> �.�,.�....6............. .9.�� <br /> Everett, Washington......... . <br /> Location...�.�.�..�......"'"". ��n ... <br /> t . ............:...... ........ <br /> F� .... ........ <br /> �"�..... � � <br /> Owner......... ...... . <br /> ............. <br /> Y-' • <br /> . ..� . . ' ...__........................... <br /> qppl i ca nt......... . .......... ........... <br /> Rough piping inspection <br /> pipe in excess of 60' .. - <br /> Gas. Stoves _ _ --- <br /> Gas refrigerators _ __._ --- �ias water heaters - ---�----- <br /> / <br /> Gas space heafers to 70,000 B.T.U. input f� -- <br /> Cas space heaters ove� 70,000 B.T.U. inFut -- <br /> Gas furnaces to 400,000 B.T.U. input - <br /> Gas fn�naces ov�er 400,000; B,T.U. inpu: -- <br /> Corncrsion units to 400,000 D.T U. input - - . <br /> � i <br /> Conversion units ovc� 400,000 B.T.U. input --- <br /> .,mall appliances. -- - - -..._.. ---- - -- �- <br /> ----'_' <br /> - ----- <br /> - '-,�--�-- --.... _ - --- / a��' <br /> Call Back Inspedion ..- -- - <br /> _.. Fee Paid 5--.-----..... <br /> � �----'- -._. <br /> _ ._._- . . ApPiicant <br /> ,..._ -.-._. - ... <br /> �- <br /> a� _-- _ __ _ <br /> . . . ._.. ._. , __-. - <br /> Pfahs ah(iroved and Permit granted a° requested herein. <br /> � Q., �����, _ - -- - Inspedor <br /> �, �� � , �r <br /> PERMIT �`� �--�' � <br />� <br />