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CITY OF EVERETT <br /> Applica4ion and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance <br /> I <br /> /i <br /> .. � � � <br /> Everett, Washing;on ..... -....:.......... ...:......:.. 19.::.._. <br /> -• - .,, { �'-.- % _. <br /> ... ��.. ..... ... ... �.,. f: <br /> _._ , ; . <br /> Location ......:.............. .........----� - -................ <br /> �ti,....--------J-�-,--�-�~- <br /> Owner....---� -�;...... ............ .. ........-- <br /> �-- <br /> , i , - . ' <br /> � �_ 1.�.+...1, � ' f.�. :..,,..4 <br /> Applicant ......---�--:-`_:`......_. <br /> ................... �--.................... <br /> / <br /> Rough piping inspection ___. -_- <br /> Pipe in excess of 60' ____ -- Gas Stoves -- _ <br /> Gas refrigerators____-- Gas waterheaters <br /> x. <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 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 4Q0,000 B.T.U. input _- --- <br /> Small appliances---__- ----------_--- - - <br /> _------ '- <br /> Call Back Inspection —__,. Fee Paid $_� - <br /> 9 <br /> !.>_ ^ � 1 `- --NPPlicant <br /> --------- ,� 3+ �. _., <br /> .u�n�...._.tic. � {, <J : j <br /> BY- --------- — <br /> Plans approved and Permit granted as requested Fierein. <br /> '�/" ' � <br /> ���1�,,;t 6:!°t:u ; :. • ' " --1ns Fctor <br /> • -�------ p. <br /> Qy _ __ - - <br /> PERNIIT <br />