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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance <br /> : , . <br /> - a ,., 4 G <br /> ,� <br /> Everett, Washington....:.�f:�.i�. . 19........ <br /> ...................... . . <br /> - i � •- <br /> � ., � , ._..�e <br /> Location ............ ...........�'.1.................;............. <br /> Owner..........:.j.....�""""�v d . .. ..�r • A"' : ...� <br /> 1._._ ...:.:............ <br /> ............ ............. .....:..`�- <br /> �; ; <br /> . . -, . <br /> Applicant .......................�-�---•--............................-----•-•--•- <br /> X <br /> Rough piping inspection__ <br /> Pipe in excess of 60' —_-_--- Gas Stoves _---- <br /> Gas refrigerators_ _ Gas water heaten__x-_. <br /> Gas space heaters to 70,000 B.T.U. input - <br /> Gas space heaters over 70,000 B.T.U. input --.- <br /> Gas furnaces to 400,000 B.T.U. input __--- <br /> Gas furnaces over 400,00,0 D.T,U; input - <br /> Conversion units to 400,000 B.T.U. input _ _—— <br /> Conversion Units over 400,000 B.T.U. input - <br /> Small appliances---- <br /> — . . ___��_ <br /> /- <br /> Call Back Insp�jctio� _ Fee Paid $-#- .---- <br /> t' . � '� • ----APPlicant <br /> - ---`T ^-dti�- <br /> f!y . _— <br /> P;ans approved and Permit granted as requested herein. <br /> ��; �,} <br /> ���1(',}C.+.-�_s __—Inspector <br /> By — - ---- <br /> PERMIT �a-5 5 <br /> 0 <br />