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CITY OF EVERETT <br /> , App(ica4ion and Gas Installa4ion Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance <br /> . � <br /> . ' ' :� :• <br /> Everett, Washington-----..`..:::.:-.-.. - .::................ 19... -- <br /> . :: , � , ., ...� <br /> ., � - . . <br /> „ <br /> Location .... .:.._.... ��---��--------------- -------------------... - <br /> , - , ��....<.,. ,. -. .�..�t' <br /> Owner---�--'• -'-��--�-••----......:.........::...... .--�-�--��-----....... <br /> ._ .. _. . , ' ::+' <br /> ' ; , �:w, � ' <br /> ,, r .. .. ' • ; + :.;_ <br /> Applicant:.................:..............-� - -- .-:-..--............ .. <br /> , <br /> Rough piping inspectian_—f----- <br /> Pipe in excess of 60' _:-_--- "Gas Stoves <br /> Gas refrigerators_._—_ Gas water heaters___ - <br /> Gas space heaters to 70,OG0 B.T.U, input —_—_ - <br /> Gas space heaters over 70,000 B.T.U. input _— _ <br /> Gas fumaces to 400,000 B.T.U. input __.—�'h'� -- <br /> Gas furnaces over 400,000 D.T.U. input __— - <br /> Conversion units to 400,000 B.T.U. input _ ___._- _ _ <br /> ' Conversion Units over400,000 B.T.U. input —__—.__. <br /> Small appliances-- ----= —=��----- <br /> - -- � <br /> l'% fU <br /> � .�. <br /> Call Back lnspection --__ Fee Paid 5�—'_,_:--- <br /> --- —--. -----•�pplicant <br /> BY- . . _. — -- --------- <br /> Plans approved and Perm�jgrantedlas requested herein. <br /> ` ;..," " ' _Inspecter <br /> � � <br /> QY- �� - — — --- - - <br /> PERNlIT � <br />