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j <br /> � <br /> � <br /> CITY OF EVERETT <br /> Applicatiorv and Gas Installation Permit � <br /> All Work to be Done in Accordance'witF- ' ' <br /> - Lity Ordinance <br /> Everett, Washington....,�,��. „ � <br /> .� ....�..� ...., 19.�� <br /> �ocat�on...... .. �,�II j �-�ic+-� <br /> _ • • .... .... <br /> ... <br /> --- <br /> Owner... `,. _._ _ _ <br /> �) .. .... � <br /> ..... ... <br /> Applic�ant ............S7`. <br /> . �...... ................. <br /> ....................... <br /> Rough piping inspection <br /> Pipe in excess of 60' ___ Gas Stoves ---- I <br /> :as.re/rig�raYors _.._____._ �Gas water heater� <br /> Gas space heaters to 70,000 B.T.U. input � <br /> �as space heaters over 70,OOO �D.T.U. input .__ <br /> �as fumaces to 400,000 B.T.U. input <br /> Gas furnaces over 400,OOP ,B LU in ut _ <br /> ,. � •. f�1��,�� p -- <br /> Conversion uni�s to 400,000 B.T.U. input ___ <br /> Conversion units over 400,000 B.T.U. input _ <br /> Smali, appliances_____.______ ,�_ <br /> _ ._--�—,-�-c,-.�:�� � <br /> O• , '— <br /> Call Back;lnspection __ Fee.Paid � <br /> $----�•.._..._ <br /> ' � � Ap�plicant <br /> R� •����r����� � I <br /> --�,�--'_ I <br /> FIahS'�pproved and Permit granted as requested h�rein. <br /> ..�� i <br /> _— t �.✓�� ,� <br /> ���___Jnspecfor <br /> �I <br /> �y_ /�� �•�( _ �� <br /> PERn'�IT N:' 4589 I <br />