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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AIl Work to be Donc in Accordance with <br /> City Ordinance <br /> ' ' ?� y ,9.�.� <br /> Everett, Washington....�.. �....'. ...... .. ...... <br /> � <br /> � .......���......... . <br /> �.�.�. . . . .. <br /> Locaf ion.... ..... / <br /> Owner. ... ..... .......:............. .r. . �`" .. <br /> �......�.................. <br /> Q _...__.._.. <br /> Appl icant.�.Y:.Y�..''a�.... ..::..................... <br /> Rough piping inspecfion . <br /> Pipe in ezeeSs of 60' ._ _ . . , Gas Stoves . - <br /> Gas refrigeretors .___-- -_ Gas water heaters.._.__-.- <br /> Gas spacc heaters ro 70,000 B.T.U. input - - - <br /> C;as space heaters over 70,000 B.T.U. input <br /> Gas fumaces to 400,000 D.T.U. input - - - <br /> Gas lumaces over 400,000 B�T��1. input _ - - - <br /> Conversicn units ro 400,000 B.T.U. input _.-- - <br /> Conversion unifs ovcr 400,000 R. U. input _ - . <br /> Small appliances_,C1/t-"-�-��'-'�"-" - <br /> .------- ----- -- -- - - ---... - --'—'- <br /> / �O <br /> Call [iack'InsP2ction `----- Fee Paid $_—�--. ---._ <br /> C�7�-- - -- --- p`PPlicant <br /> . .,..,r-�— — <br /> . _. . . <br /> ._. <br /> _. _ - - .. <br /> Y,�� , r <br /> ..--- -- -- <br /> PItN"s approved and Perrdit gronted as requested herein. <br /> -- '--_ ---'- —�___ _ Inspector <br /> u>� <br /> PERMIT N�' �'��'`•� <br />� <br />� <br />