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CITY OF EVERETT , <br /> Application and Gas Installation Permit <br /> All Worlc to be Done in Accordance wi4h <br /> City Ordinance - <br /> Everett; Washington._.:...._:.r.F:!'..4''•°-�.:f........, 19�:.:�_ <br /> Loca tion.........:��.I..�..G---..!��?�^:G.h.a::.-�-.......... <br /> _ ......_..... ._ _._.._.. . ..._ _ <br /> Owner_...---•'--�- U�t .-... t� �_.cx-....� <br /> _, <br /> ��........'......~...---�-.::.....-�---.. <br /> �....... - <br /> A , il , . _ _.._. - . .. �......�. <br /> _ _ <br /> PP cant_.... --�`:... /... .k" _c.. �__ <br /> ............... -................._... - ...... <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 /> � _ . _ <br /> ,. � <br /> Gas space heaters over 70,000 B.T.U. input — <br /> Gas furnaces to 400,000 B.T.U. input __��_ <br /> Gas furnaces over 400,000-,B;T.U. inpur _ <br /> Conversion units to 40G,000 B.T.U. input _ _ <br /> Conversion �anits over 400,000 B.T.U. input __ <br /> Small appliances_._—_ �___.___ <br /> - ----------"""T r-._. <br /> �f � <br /> Call Back Inspection - - -- _ Fee Paid $!_...,_,.. <br /> - -- -- ----- - ---- ---�_ .Applicant <br /> ,., <br /> By.. __;—_��- ;� ;r_ , '_ _��.y' r/ —'----- <br /> Plans'Approved and Permit granted as iequested:herein. <br /> (..(_:,. :�.. ;�. � . ., <br /> — ---- -- ---�-�-��_---Inspector <br /> ay — _ _ — '- `- � --- <br /> PERMIT � �:. `"., . <br /> t � \ : `� _ , <br />