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. ,� <br /> CITY OF EVERETT <br /> App;ica9iun and Gas Ins:a;lation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance . <br /> Everert, Washington....�L:"°-'�^�S� /'! <br /> .�......, ,9�. _.. <br /> .�...-••.... ....... � <br /> Location......�'3 .:.�v---��r-ti'S,. <br /> 7, . .._ <br /> Owner / l(-t7.�c-/ S/ _ . -- ... <br /> In , <br /> Y} �j��'a _ <br /> Applicant ......... .4..--... �-' -.._ .... - - <br /> Rough piping inspection � <br /> Pipe in excess of 60' ___ Gas Stoves __ <br /> Gas reirigerators __-- ,Gas �;ater heaters-��__ <br /> Gzs sp�ce heaters ;0 70,000 B.T.U. input _ <br /> G�s space heaters over 70,000 B.T.U. input <br /> Gas furnaces to 400,000 B.T.U, input --_—_. <br /> Gas furnaces over A00,000 B.T.U. input _ __ <br /> Conversien units to 400,000 B.T.U. input � __. <br /> Conversion units ov_r 400,000 B.T.U. input <br /> Small appliances. �, <br /> � , <br /> �J �'-D' <br /> Call Back lnspection ___�_- Fee Paid $ / .. <br /> _. _ <br /> �___..Appl icant <br /> _ , <br /> � � <br /> � .�s c <br /> , �._�_�� Z <br /> e�.., —?-- _.— — ------1--—�-------- ,----- <br /> , , , � . <br /> f!ans app�oved and Permii granted as �equested he�e n: <br /> �' �.� .C,. <br /> __ G- �� Inspector <br /> �.��=-----— <br /> �. _����------ - <br /> �.y, - <br /> PERMIT �+I� �37? <br />