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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordancei�{.itF'��� <br /> - City Ordinance __ <br /> � <br /> Everett, Washington:.:....:7��;:�-',,,;, /:� 19 (�� <br /> Lowhon ....�.A O �_,.`�ItJc��,_ <br /> � ... ...Clrcr�-.. <br /> O�vner........ .... . .. �.e...... <br /> y.... . ....... ""'..... <br /> _.' .,', . � � �- -� . . .. <br /> �.pplicant........ ___ <br /> .:..:�'... ............... <br /> Rough piping inspection �__ <br /> Pipe in excess of 60' Gas Stoves --- <br /> Gas.-refrigerators ____ Gas water heaTers <br /> Gas space heaters to 70,000 9.T.U, input <br /> �_� _ <br /> Gas space heaters over 70,000 B.T U. input _ <br /> Gas furnaces to 400,000 B.T.U, i�'put <br /> Gas furnaces over 4p0,00�. B�T U inpui <br /> ,�� i D._Ii;-1 <br /> Conversion uniTs to 400,000 B.T,U, input X _ <br /> Conversion units over 400,000 B.T,U. input — _ <br /> $mall appliances <br /> � ------------•--__.. <br /> or <br /> „� , „ ._, ;, ------.���. <br /> Call Backllnspection ._ Fee Paid � <br /> 5--�,.—r. <br /> `""-` � �._Applicant <br /> By__:,..� _ . --� -av�- �-p .S'`.� <br /> ---�,�,;--- <br /> Plans appioved and Peimit g�anTed as requested iHerein: <br /> �/1 <br /> -- ��... ' . <br /> � Inspector <br /> BY -- -- �`-11._-_ <br /> PERMIT 1`�° ��;�� <br /> �y.� <br />