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CITY OF EVERETT <br /> Appliea�ion and Gas le�stallation Permit <br /> All V��ork to be Done in Acmrdance:44ifh <br /> City Ordinance - `� ' <br /> L � <br /> Everett, Vyashington..:..v.�::[„a.:.............. lq�j,� <br /> Location..._:- •-•/��.:�/ ..... . . .......... �.. ... <br /> / ......... <br /> Owner ..... :,/d .. �Y„�.f,,, �� 7�A-C!4.�,�' <br /> c <br /> � � %� y _ _ <br /> A iican .. � ` � t � r , <br /> PP t � . `!.^!!„�.................._.................... <br /> � �( <br /> Rough piping inspection __(L <br />_ Pipe in cxcess of 60' —_ Gas 5toves _ ______ <br /> � <br /> Gas ref�igerators __—__ Gas water heaters______. <br /> Gas space heaters to 70,000 B,T.U. input __. <br /> Gas space heaters over 70,000 D.T.U. input _ <br /> Gas furnaces to 400,000 B.T.U. input _ _ <br /> Gas furnaces over 400,0OO..B�T�U. input _____ <br /> Conversiun units to 400,000 B.T.U. input �� <br /> Conversion units over 400,000 B.T.U. input ___ <br /> Small appliances_—�._.____.___��._.",—,�- <br /> �, <br /> -- ..�_�..,���—---�-- -- f-) iJ c�' - <br /> Call Backiinspection __�_, _ Fee Paid 5�_.1___`"" _.. <br /> � 1 :q ,�,:... <br /> .�,._. . _ r �—�..-- - �F��licant <br /> � /� � <br /> BY,- . __L:.�..�__.. � l�.1 9._ _,_._ --- <br /> 1� <br /> Plans approved and_Permit�granted as, %quested!h�aein. <br /> �.., � . <br /> -- � __� - �- ,��i,Y --- -Inspector <br /> BY .__ _. _�C 1�J�� --------- - <br /> PERMIT N° 3fiti �i <br /> F <br />