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CITY OF EVERETT <br /> Application and Gas Installation �ermif <br /> AIl Work to be Done in Accordance with <br /> City Ordinance <br /> i �. � � ' • ' , 1�. <br /> Everett, Washington..... .�'0�.: ..��........, 19...�� <br /> Lotation... yb�.� ....................'�":............ <br /> , r+�✓' <br /> Owner...... ............. .......... .... . ............................. <br /> ... <br /> Applica t.:�:;.!:.!:-'f..k�.��-'��..a..........�.:...e.:...._........ <br /> �� <br /> Rough piping inspection _ — _- -- <br /> Pipe in exc�ess�of 60' __ _,- - _ Gas Stoves _ ___-__ - <br /> Gas refrigeiators _....__ _. Gas water heaters_�._-- <br /> Gas space heaters to 70,000 B.T.U. input -_ -- <br /> Cas space heaters over 70,000 B.T.U. input <br /> Gas fumaces to A00,000 B.T.U. input _ _ __- - <br /> Gas fumaces over 400,000 B.j.U. input _ _. ___ <br /> Conversion unils to A00,000 B.T.U. input <br /> Conversion units ov�r 400,000 B.T.U. input _ _ _ . <br /> Small appliances.--- ------------- ---- - -------• <br /> 0 <br /> __._-—�--- -- - -------- -- ----- <br /> �all Back Inspection . .. _._. Fee Paid $__%�.�`�.-,- <br /> _.-- <br /> C / ' r�- ------ ---- Applicant <br /> , <br /> ' __._ ..__- - - <br /> . __ - - -- -- - <br /> Y:; .. ._ <br /> Plans approved and Parinit granted as requested herein. <br /> -. -_-----_' '----- Inspector <br /> � Gy <br /> PERMIT N`: ��lfi] <br />