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; <br /> CITY OF EVERETT <br /> Application and Gas lnstallation Permit <br /> All Work to be Done in Accordance'with - <br /> 1,' City Ordinance <br /> , i <br /> Gverett; Washington:.:.....:.::1::r�� C �gb�i. <br /> � ......... .............. <br /> �'"Z � � �'�-»---�� <br /> --�---......_........��-•--- - -o-�.—�. <br /> ' - . <br /> _ . . ._ _ ... .. . .__... <br /> " <br /> . . � � .-� .�', i•t� <br /> ...............'"'"'...""" "'"' ' <br /> . '..___ ..... ._._. <br /> _.. _ <br /> Owner... '...-�- —�'�--�"��'-- •• a-�- t'x=-t. <br /> ....................................... - <br /> A li� ... . .:`. <br /> PP y ; � , , _ <br /> cant:.....'----:. '�:'.�.:�"`��-- - <br /> ...... .... - •........... ....... .�- - - <br /> Rough piping inspection �'�� <br /> Pipe in excess of, 6,0'�_- � _ Gas Stoves ___ <br /> Gas refrigerators..___ ,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 f�rnaces" .to 400,000 B.T:U, input` _ <br /> Gas furnaces over 400,000 B.T.U. input ___ <br /> Conversion units to 400,000 B.T.U. input ____ _. <br /> Conversion units over 400,000 B.T.U. input __ <br /> Small appliances—___._ _ <br /> i� , -- <br /> — -_�,_ <br /> Call Back:lnspection ___.�_. Fee Paid $��_ <br /> t"*-f"-------- --'4RPlicant <br /> � ...: � � <br /> By,�._��?�s— �-- -i/ 1 -' � ---- — <br /> Plans approved and Permit gr�ted as?iequested lfd2rein: <br /> T� � <br /> — --- � :��a-�. Ins e <br /> _., <br /> `'_�-'-�-'= _— P ctor <br /> BY -- —�`C- 1i!------ ------- -- <br /> PERMIT ;��r:' � . <br />