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CITY OF EVERETT <br /> Application and Gas installation Permit <br /> AIl Work to be Cone in Accordance'with <br /> City Ordinance <br /> � <br /> Everett, WashJngton..........:::::`'Yiry...�............, 19!'.'.:---- <br /> ., � <br /> LocaTion... -� -`-.-- ,'' :!;e�r <br /> " .....--�- �/ � �(J � <br /> _ ,;__ __.. _y��'..,-,-�----�-:--:'::_" •-:_...._-�- <br /> Owner................'-��,e�----t� .l'...�..�.12:G.r.Q�.F::+.,,......_... <br /> _. � .�p _ <br /> Applicant---- � .`.:��.5.- -_ :... .... - .. <br /> Rough piping inspection ��• _-._ <br /> Pipe in eecess of 60' _ ____ Gas Stoves <br /> Gas refrigerators _—__ Gas water heaters-- <br /> / <br /> Gas space heaters to 7C,000 B.T.U. input � <br /> Gas space heaters over 70,000 B.T.U. input <br /> __ __ . <br /> Gas fumaces to 400,000 B.T.U, input _ <br /> Gas furnaces over 400,OOO ,B.T.U. input <br /> Conversion units to 400,000 [3.T.U. input _ <br /> Conversion units over 400,000 B.T.U. input <br /> Small appliances_. _- --- <br /> _ -—- _ ------ / �;o_,.- <br /> Call Back lnspection —��_ Fee Paid $�;_�___ <br /> �. , <br /> _ __ �Applicant <br /> [3y.. _._ _4`_i:'--Y ��/ % � � - <br /> � ..- , , <br /> Plans approved and Permit grarrted as rnquested :Fierein. <br /> - --- ��° . . ,3-�` "=r'�'---- _Inspedor <br /> � r -._.__ -- - <br /> By __ . __ _ ____. _ <br /> PEE�MIT ��`' � , � <br />