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I <br /> CITY OF EVERE7T <br /> Application and Gas Instailation Permit <br /> AIl Work to be Done in Accordance'with <br /> ' - City Ordinance - <br /> Everett, Washington:::..::.-:--L�....�.( :�:.-..-.-�.�.�.., 19,�.�:. <br /> /b'11 �-�cl-w�£ <br /> Locaticn..............�� --�� .....---••--•-•-----�---�-�---...---......--•--- <br /> (ti _ l�_ �1 .�� . ..__ ._ . _ __.._ <br /> Owner. ................�---••-�-------••-------�---•---•-•--�--.........---•""" <br /> , � . ......, �,e.- ��dt-ttt,�i__ _ _ <br /> ky✓�+ht{JM1'r' .'� , . ; <br /> Appl icant.............. .................................------.........--��----.. <br /> Rough piping inspection <br /> Pipe in excess of:60' --- 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 furnaces fo 400,000 B.T.U. inp;�t --_---_— <br /> Gas fumaces 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 /> iG ��_ <br /> SmaIL appliances_��U--' _--.. -.- <br /> _��3 -----�----a—�-�, � <br /> � � � <br /> Call Back.lnspection ._— --Fee P�id $._�_. _�--.- <br /> ---���'� __ _.._-__ _Applicant <br /> ._.,_._ - — -- <br /> � <br /> �i�.4� /7 T > <br /> BY--'----------- ---____ ------- <br /> Plans�approved and Permit:granted as re,qu�sted :lierein. <br /> - — --- IL�-"��`�=- '--- _Inspector <br /> . �Y - _ - . -- ---- - ------- <br /> PERMIT T': ': ` <br />