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CITY OF EVERETT <br /> ApplicaCion and Gas Insta�lation Permit <br /> All Work to be Uone in Accordance with <br /> City Ordinance <br /> ..; <br /> � , : . 1 ; `' <br /> Everett, Washington............ ........ ...........�� ..., 19.'...'.- <br /> /,, ? ,rY ; , ,. <br /> e , _P.:;�t.�l.r.�l� • <br /> Location .....:...:. -�-----�.. ....:............�----•-- --....--� --............ <br /> r_`` ,.-,,� '.;i . �f}� �.aX% <N..;:._ <br /> Owner.........:.........� --_.-v--......--- ----.................... -- -.... <br /> ,� <br /> '.!... e�.0 ; ) , � <br /> Applicent ..........._ .�................._..--..:.----......._...........-- <br /> Rough piping inspection_ <br /> Pipe in excess ot 60' _— ___- Gas Stoves ._ ___. — <br /> Gas refrigerators_____—___ Gas water heaters_ .___ <br /> Gas space heaters to 70,000 B.T.U. input _x__..`__ <br /> Gas space heaters over 70,C00 B.T.U. input <br /> Gas furnaces to 400,000 B.T.U. input _ ______— <br /> Gas fumaces over 400,000 D.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 /> _ _ . _ _ .7..,G`__ <br /> Call Back inspection _ Fee Paid $_-'�' <br /> _ <br /> ,t ` <br /> " Applicant <br /> 4 �. � \ <br /> ------� — -- ___ <br /> ! P. •I f r J <br /> �.•',0/O1. ✓G � Y„ <br /> B1'- — ----- -- - <br /> Plans approved anJ Permit grented as requested herein. <br /> , , <br /> ,; <br /> �_ .r�4 ;':: <br /> �1�`l , i ..�c+..:, . , P <br /> - --- ----`—`— --- t-- ---- —Ins ector <br /> By <br /> P�Ri�IT <br />