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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in 4ccordance'�tvi4h'� <br /> ,t City -0rdinance -- - <br /> � ,. � , � '_ <br /> � - .J � <br /> Everett, Washington"".�....�..�±..........., �19.R•---• <br /> , .� <br /> . s <br /> Location..-----...�.?.�..5..--•--�---...._ .. <br /> , . _ . , r. � c c i ......----�--- <br /> , <br /> ...-- <br /> Owner ._...' (�{N�.----� -� ....._.__.. <br /> Applicant.�.---,.:.5.A6d.�'k.y .._Q�-'T�4...�+--�'-�,�'..'rya��__---- <br /> Rough piping inspection -L�� <br /> Pipe in excess of'60':ls`—.' -c.- Gas Stoves — <br /> �Gas refrigerators _— -_ ,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 fumaces to 400,000 B.T.U. input �� � <br /> Gas furnaces over 400�,O,Oi��6�T�,�1� 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(Inspection.....��_.�._.-- Fee Paid $�L_,.,;r,. <br /> „�...�-.,___.__...�._____._-Appl icant <br /> .,....�. , ...-..� iJ <br /> By.�{,..E.���-�--.�J S-A�----7-- <br /> pl�n`s^6pproved and Perri�it granted �s�'requested'hie"rPin: <br /> --���--a��/ <br /> q KCCQND Inspector <br /> 4Y - -1-�� �jt- -- — — -- <br /> PERMIT �� :b7�':, <br />