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CITY OF EVERETT <br /> _Application and Gas Installation Permit <br /> All Work to be Done in AccordanceNvi�1S���` <br /> , �. -City Ordmance . ,.; - . <br /> ' � � � .�',i ? - <br /> /�; r '� � ` � <br /> Everett; Washington :..:.l:S!�..�u�.--... .....,- 190.�... <br /> �tj'�� .:� E r' Ce..t_ <br /> Location...�.:...................... .. 4�. �..........---............ <br /> : �«,i'��;. .,._i� �. .._i j,.;�>r <br /> .. ( :�/,� 1.........._. <br /> Owrier......sJt�:}�-....1J e:t:4?::=�•'•:a->:._'•'---�.............--- <br /> � : :. : ..... .�..... __ __. .. ......_.... ........ <br /> Applirant............�--�....'.'...�.........--•�.............................. <br /> Rough piping inspection _� <br /> Fip� in excess of 60' _ Gas Staves <br /> ,Gas,_re�r,igeretors �——_ ,Gas water heaters.._._ .� <br /> P ... . . . B.T.U. input..-.. ... . — <br /> Gas s ace heaters to 70,000 <br /> i:�u., ,�i. . ___._ . . . . . _.. . <br /> c.�,, <br /> Gas space heaters over 70,000 B.T.U. input _ <br /> ,�� �: . � ___ ,�_ _. . ._. ... ..._ <br /> Cas fumaces� to 400,000 B.T.U. input — <br /> Gas fumaces over 4QO,OOO.�,B.T_U, input — <br /> Conversion units to 400,000 B.T.U. input x _ <br /> Conversion units over 400,�00 B.T.U. input <br /> $mall,appliances__.__..�...�.�.� <br /> ,.- i ',a� : , <br /> �, ,.:1�. ' ...«y.t�� _�...W._...�._ .�,_ <br /> 1 �bP <br /> Call Back�lnspection . ....__�_ ._ Fee.Paid $��� <br /> .,._. ��.�—�--- --'--- -APPolicant <br /> (�(/�'� �' r <br /> BYtt'�='Ft_—_c c,�c�__..�.��..-r-�_ .�.._.._._.;_'_--- <br /> .�, <br /> Pla�ns�approved and Per�iiE gYanted as requesfed }i��eiii: <br /> � � . � '�. <br /> __�_��43i�+�����i<!J_--_Inspector <br /> Bv -- - �� lr�, _--- -- - <br /> PERMIf Id° ��' ' � <br />