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CITY Of EVERETT <br /> ApplicaPion and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance � <br /> ` �� � � - <br /> _.. � <br /> Everett, Washington`::�r.':�` ..:r...................... 19:.:..... <br /> ; <br /> Y � �� <br /> -, �.....r:� av.t,,.r:9 . .. <br /> Location ... ..�: ^° "� <br /> --�-�--.. .............�- ----...............-•-�---.... <br /> ;., , . , <br /> . . , � . : <br /> � ..f L Cl �-./ � J r-.�.�-�.�_l <br /> Owner---.:.::.<................:...�.--�•--�----� - ............_................. <br /> : <br /> Applicant .....---'•`:..:......::::..:.......... - _............_........ <br /> Rough piping inspection_ <br /> Pipe in excess of 60' _ Gas Stoves - <br /> Gas refrigeretors_ _ _ 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 furnaces to 400,000 R.T.U. input _ __X--__ <br /> Gas fumaces over 400,000 B.T.U. input _ <br /> Com�ersion units to 400,000 B.T.U. input <br /> Conversion Units over 400,000 B.T.U. input _____ <br /> Small appliances _--- —--- ---__ <br /> -- �-- <br /> Call Back Inspection _ Fee Paid 5.�-�---. <br /> - -- -------APP,licant <br /> — � , ,, — <br /> �Y ; f rn.:l.r�----- — <br /> Plans approved and Permit granted as requested Herein. <br /> �:' ,-� r <br /> /�� ( ; r.,��,..;_-�. . . <br /> - ---�. - -- — —1-----_Inspector <br /> �"� -,� <br /> +h__' <br /> Gy ---��- — - -- -- ----- <br /> PERNlIT 314 (? <br /> ; <br />