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i <br /> � <br /> � <br /> CITY OF EVERETT <br /> I <br /> � /�pplication and Gas lnstallation Permit <br /> I All Work to be Done in Accordance with � <br /> Ci�y Ordinance ; <br /> .� - 1 . ' <br /> Everett, Washington----.....r.:.".:r.:---�..:::...........�., 19:.`�... <br /> �' ." ^ .7;,., ,e � <br /> � ' ?'- { �. <br /> Location ......:..:.:.......... ....... ..X. -4._ <br /> _ ......... .................... ... <br /> Owner...........::..l:t::...: :•'--� `�� :'`J. �; <br /> . ...................•--........--•-�---........ <br /> . �� ... {:.LP.�'. `�. .. - . � .:. <br /> APPlicant :;....---� .., `=-/`.«-�.,.. . t <br /> Rough piping inspection_X _ <br /> i Pipe'in excess of 60'':__ ___ Gas Stoves _-__.___ <br /> Gas rcfrigeretors_ __ Gas water heaters_ __. <br /> Gas space heaters to 70,000 B.T.U. inp�t _ <br /> Gas space heaters over 70,000 9.T.U. input __ <br /> Gas fnrnaces to 400,000 B.T.U. input _ __.__�___ <br /> Gas furnaces over 400,000 D.T;_U. input __ <br /> Convc.rsion units to 400,000 B.T.U, input _ _____ <br /> Corncrsion Units over 400,000 B.T.U. input _ <br /> $mall appliances <br /> _�T_^�. <br /> __ _�:�.. ., <br /> :.� <br /> Call Back lnspectim _ Fee Paid 5�-:�-�___ <br /> a. <br /> -- -- --- -APP.licant <br /> : <br /> By_. ' .. -_—"_-� <br /> Plons approved and ?ermit g anted as ?equested hhreir{., <br /> ��(��. x';'..:.��._:..,;r��- r� <br /> - -- - -- ---- �-------Inspector <br /> EY- ------ .'", . <br /> PERMIT :: '.. � 8 <br /> -t -. _ .. <br />