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i <br /> CITY OF kVERETT <br /> Applic�tion and Gas Installation Permit <br /> All Work to be Done in Accordance with ` <br /> - City Ordinance - <br /> 'rna,,�,t, . !�-,= ., �q.`.b. <br /> Everett, Washington.....................:....... ............. <br /> Location..•�,!��� �!'..-'Y..r......---• ........................ <br /> .......... <br /> �.. � <br /> ,�... . <br /> Owner...-- �..�..��� J� ,��. �t.tlt�.�f�.+�.'...--••---...... <br /> ---�-E"'"'............ . <br /> .� ., <br /> , <br /> .._._... <br /> � �� -� . 1�- •.......... <br /> Appliwnt. ..........'�..'.�c...:.......�.:.............. .. <br /> P.ough piping inspection � <br /> Nipe in excesr of 60' _�-:-- Gas 57oves -- <br /> Gas;�rofrigarators _ _ Gas water heaters..._---- <br /> Gas spam heaters to.70,000 B.T_U. input --- - <br /> i;as space heaters ovcr 70,000 B.T.U. input — <br /> Gas fumaces to 400,000 B.T.U. input��-x` <br /> Gas furnaces over 4,OO�OPO.Br,T,.U,� input <br /> Conversion units to 400,000 B.T.U. input - �i <br /> Conversion units over 400,000 B.T.U. input _--- - � <br /> Small app�iances_�_ `' <br /> i <br /> ------..�._-'�---,—.�.�-� i_.dm- � <br /> Call Back lns ection--_----- Fee PaidS;� � ' Y� <br /> P T,�,. 1. --- _ <br /> ''1 /� � .�.� �� /� <br /> _..,ulA/�lhM. :�' ._�°f--�^'7s_-_.Applicant <br /> � � _ � i <br /> gy; ='�,.�@�:.--s `��-+.''�7�- _ _ <br /> plans approved a d PFrmir grantei! aS�requested!Rerein. <br /> _ _ _�li�+�_'�_�,���ECSi'i'- -- -.Inspector <br /> Y - - - _ __- - -- -- <br /> _ <br /> PERMIT '.;?4 3'�7� <br /> �� � ���.��� ��. <br /> � <br />