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� <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> „ ,. .,. <br /> All Work to be Done in Accordance�wi4h' � ' <br /> - r -City Ordinance - - <br /> Everett; Washington.-::....v �..�/.�•......'., 19.�:"• <br /> / h!�.o..��.,..<. '�a-�.....<�. - .... <br /> Location..............:�--�j.. ... . . i. ' <br /> _ � � � �/ }-, <br /> Owner ._.. ...4��F"'�-... �L�!t.�t?!..�-- . ... ... ... <br /> � ��.- � <br /> _P-�.;�4'����„ _ _ .................. <br /> Applicant..:.............. r............ ...........---...... <br /> Rough piping inspection —Li---- <br /> pipe in excess ot 60' _�---= Gas Stoves _ -- <br /> �,as,.refrigerators _--— ,Gas water heaters..._----- <br /> P B.T_U. input � <br /> Gas s ace heaters to 70,000 <br /> Gas s ace heaters over 70,000 B.T.U. input <br /> p _ ___ <br /> Gas furnaces to 400,OG0 B.T�U. input — <br /> Gas fumaces over 400,000-.B�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 /> ✓,_,�,�—.�-W.�.�."��.-;n-t;c- <br /> i 'O'h <br /> Call Back lnspection _ Fee.Paid S_�--„-�r,nq.• <br /> •-�u--;—�.�_� <br /> � ._ -----•---'APplicant <br /> gYr �- �S��G.!��1�}'.�__�-----=;--�� <br /> � � �, .�,.� <br /> plans abhroGed and Pe�mft g�anted as requestcd iHerejn. <br /> --- �� ����y�•'k_-- Inspector <br /> BY- -- ---��'`— — <br /> PERMIT N� 3�=' � <br /> I <br />