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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance!witli` ` <br />City -0rdinance <br />� + <br />(r�����.l1';' �..:; , \y y:.�. <br />Everett; Washingtan:.:.:_.:?!.:?-:•'�="_ ." ,�v:-' ..., 19�"6• <br />� T � O ` ""'�--•- <br />Location-- - - ----------------- ---•--••--� w��.... .---• . <br />_ <br />_ _�- • .... <br />Owner --�- - ,� <br />,.. ....... <br />�-•-- <br />� _ <br />�-;.���c���t __�)��%� 1 r.: i7�1� � — <br />Rough��iping inspection � <br />- Gas Stoves — <br />Pipe'in ezcess(of�-�0 ,h-�---f-• � <br />i1 <br />Gas ;refriga(atqts ---1i--- � �s water heaters x - - <br />Gas.space.heaters to.70,000 B.T.U. input..___ __, ___ <br />n:�, �>,M . .,., ` � <br />space heaters over 70 000 B.T.U. input <br />Gas , hr ,; ___. <br />Gas furnaces to�;400,000 B.t.U. input -- <br />Gas fumaces over 4,00,0OO.�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„app�iances �-- - .� <br />,.. <br />— , r � ... p� ` . <br />i6 <br />Call Back�lnsp ction- — - - Fee.Raid-$_._ ��- � <br />,( V `�: <br />� � � i 'J � .App,licant <br />�__,� � <br />B`'KJ".�aa[:`�� "_ i c <br />pia�ns`approved and Per;rtu�4�ented as �equested :lie;eiji: <br />C�n� � <br />�!'l/'� ,� ; � _ Inspector <br />�C.,.� t � <br />PERMIT ?�� g� "� <br />