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CITY OF EVERETT <br />Application and Gas Installation Permit <br />AI�I Work to be Done in Accordance!Witii -" <br />-. -.- - _.City.Ordinance._. <br />,_�,-:, � <br />,�,� . ; .� � - � �� ���- <br />1. `, /� • - � �> <br />Everett,. Washington...`...._C:.�;� � a .. <br />. ......... ...................lg__ /. _ <br />�� � ' / <br />Location..... � y 0.--��-•---•-�-----.�13F..k:....�r..u�-- <br />. <br />_ _._. _. <br />•---- - <br />_ ._v7� zy /' _........, - .. <br />Owner......--- �^ �/( l� �_ . /�i <br />_ .__ -.._...... . <br />. -.--. <br />� -�� .-- , :, <br />,.i ......:.......::. :.•--�'----•--•--•:-: <br />Rough piping inspection � <br />Pipe in excessof 6C' •-�: --:c Gas Stoves <br />� , . , , ---�-- <br />Gas. refrigerators _ -' �Gas water.heaters <br />Gas space heaters To 70,000 B.T.U. input <br />Cas s ace heaters over 70,00 � <br />P 0 B.T.U. input � <br />, __ __.. <br />Gas furnaces to 400,000 B.T.U. input _ <br />Gas furnaces over 400,000. B.T.U, input _ <br />Conversicn units to 400,000 B.T.U. input _ <br />Conversion units over 40Q,000 B.T.U, input <br />Smal��appliances <br />_ i_ <br />'� .- - . <br />— <br />�,:. �,�,, !/ � �� <br />Call Backrinsaection _____..Fee Paid.$ `�r <br />� � ,—.-�.—i-- <br />;`- i —APPJlicant <br />.7�' <br />F . ;.�.�' ,3 � y <br />B�. _ <br />..-i: e ..�..— ;c <br />Plaris�ap�3roJed'�nd PelmitrgrahFed as; requesfed Heiein: <br />i�. � , ' 1 " ' �.' . <br />_�- ; `•l ,'! ." ,�i: "''� -^� <br />, � Inspector <br />�, i�� <br />6Y---- �------ - _ <br />PER�91T I�':' �519 <br />