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.>;s�:_ _ �.��,. <br />CITY OF EVER[TT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance �with <br />City, Ordinance <br />Everett, Washington .............. .. . . .l� 19..h./ <br />�.S.Q Q..� ' <br />. ... . , <br />Location...... 'ct'G- .. .��4-.4C,,,....... <br />..... . <br />_ _ �/�{,�,-v-�......... <br />. .....���,...... ..... <br />Owner.... . � <br />., . .i ._. .y- �. •� <br />�. .,_ � . <br />+�.�� ,�-�,:- .....:............. <br />Appltcant .:..:...:............. ..... it./ <br />Rough piping inspection _---- <br />Pipe in �:xcess' of 60' __ _--- -- Gas Stoves - <br />Gas refrigerarors _.__ �___ Gas water heaters _-- <br />Gas space heaters to 70,000 B.T:U. input .-- --- <br />Gas space heaters over 70,000 B.T.U. input _-- --- <br />Gas fumaces to 400,000 E3.T.U. input -- <br />Gas fumaces over 400,OOO.B.T.U, input -- <br />Ccnversion units to 400,000 B.T.U.input <br />Cornersion units ovcr 400,000 B.T.U. input -- <br />Small ap liances- ----------' .. -: <br />�-,<. �J Qyy ; _ <br />-- - / _ . <br />Call Back.lnspection .. _.�- Fee Paid $_�L_��•--•• <br />_, _- — <br />^_ Applicant <br />� ' `�' 3// L <br />BY�it_r,"" " <br />- -�---___�_...�.� �_�_.__ <br />PIan4'approved and Permit granted as requested herein. <br />` �_ _� � _ _ -_Inspector <br />By - �'� � ---- � <br />PERMIT �'•' ��3`��3 <br />