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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance witfi -' <br /> y , City-0rdinance <br /> , ; +, <br /> ' ' ,,;n• <br /> . ,� � , <br /> Everett, Washington...... . ...........�,...... ...........,, 19.b..�. <br /> Lowtion....-----/�.�.--..... . .`�-.�.a,� <br /> . . . . I . . . .. . .... <br /> . <br /> .--...... .. .. .. ..�- - • - <br /> _ . . _ ____ . . <br /> /' . <br /> Owner.......... . . i�G..r.....`-.::�`°�-!:`:-C+l�..................... <br /> ,• _ • <br /> . r <br /> �P..p�:, � . ... _ _ <br /> plicant..!.:J:.;�.F.. .��sad.. ....,' . <br /> � , . ........... ... ............ <br /> Rough piping inspection <br /> Pipe Jn pxopss af,60' _ ��_ .Gas,SFoves --_ <br /> , <br /> Gas,refrgerators _.___.__� �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 /> .. <br /> G�as furnoces to 400,000 B.T:U. input — <br /> Gas furnaces over 400�OQQ_,8��`jJ} input _ <br /> Ccnversion units to 400,000 B.T.U. input <br /> I Conversion units cver 400,000 f3.T.U. input — _ <br /> ISmall appliances._ <br /> - � :..�______.�- - <br /> / � <br /> Call Back(Inspection ._._.r..__. _ Fee Paid 5_-_L,� <br /> ,��i ___----- ____--. � - ---- �°`PPlicant <br /> B '' <br /> --- - ----- - <br /> P9'i�if g�broved and Permi granted as �equested herein. <br /> _— --�`�'� .� ,� __ :�.�_Inspector <br /> ev , ✓1':�;L <br /> PERM�T N:' 432(1 <br />� <br />