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CITY OF EVERETT <br />.. Applicafion and Gas Installation Permit <br />All Work to be Done in Accordance with <br />City Ordinance , . <br />_ . � ' ,r � <br />Everett �'' �' ' <br />, Washington ......:..:..:.....�.......---.....---.., 19:'.:'... <br />.i-� <br />, . i ' <br />Location -----..! ��.�.,.;✓.... �:::T :r.�r�2:::t��.._, i C.�i�.-, <br />..-----.... . <br />; i' . � �; � J `� � <br />''� . i [ /:._ j {�._ <br />� _ <br />� <br />Owner.. �---��---�--.-`-:..::....s.....,,__;:,-•-•-.--••--J._--Q:....r... <br />��i�.,�.,." n��: . �r`::�:�'. l _f.f��.F.,; <br />pplicant � � � � r ` <br />A , <br />_ <br />- • �. . , <br />,.. <br />---•--• ............. .... ..................:•--......:..�............ -- <br />Rough piping inspection y_ <br />Plpe in excess'of 60' --_..___ 6as Stoves ____ __ <br />Gas refrigerators____ Gas water heaters-_._—_ <br />Gas space healers to 70,000 B.T.U. input._ <br />Gas space heaters over 70,000 B.T.U. input x__ <br />Gas fumaces to 400,000 B.T.U. input ______ ___ <br />Gas furnaces over 400;000 B:F:U: input _ <br />Conversion units to 400,000 B.T.U. input _____. <br />Conversion Uni-s over 400,000 B.T.U. input _____ <br />Smalf appliances - - <br />_. <br />,.�_ <br />(i ��� Cl <br />Call Back Inspection _ Fee Paid �a_�__ <br />— . ----�PPlicant <br />; <br />gy_, i l. ,v�. __ --- <br />i� <br />Plans approved an rmit grented as requested he�ein. <br />; r . i .',. _ , <br />----`'' ( _.: r_�,-_— �,.." —Inspector <br />R� %'� ., -- <br />PERNliT �' �_ "� � <br />