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_,- .; <br /> CITY Of EVERtTT <br /> APplication and Gas Installation Permit <br /> All Work to be Done in Accordance witF' <br /> City Ordinance <br /> ) • <br /> Everett; Washington_..::::.::: _ „� � <br /> . :.. ... ...::.�,.�......::; lAE>� <br /> / „ <br /> Location_.....��._J .�, =- �!1»s�{ �.,ti.k' <br /> .... .....�.aZ.A..S....I�-- <br /> Owner ��uc�c,,,(�, � �Y - <br /> , r <br /> "' <br /> ._.. <br /> ..... <br /> Applieant .._�.e Le�-�i,.�-yk, 't�,,; <br /> ...................:......................... <br /> Rough piping inspection .�(��_ <br /> P�pe in exces3 of 60' _____ _ <br /> , Ga5 Stoves __ <br /> Gas refrigerators _ ___,_ _ Gas wafer heaters __ <br /> Gas space heaters '0 70,000 B.T.U. input __�X _ <br /> ' i.� <br /> Gas space heaters over 70,000 B.T.U. input ______ <br /> Gas furnace5:to 400,000 B.T.U. input _ ____ <br /> Gas furnaces over 400,000 B,T.U. input ____ _ <br /> Conversion units to 4U0,000 D.T.U. input ___ <br /> Conversion units over 400,000 B.T.U. input ____ <br /> Small appliances_.______ . _ _ <br /> _— , <br /> ' � . <br /> -----�, <br /> —___ <br /> _�— �- <br /> Call Back Inspection _ � cd <br /> --- Fee Paid.$_�- _ <br /> _ ._'-- ---- - ------ ,. <br /> ' --- ARPlicnnt <br /> � �By... „-----�•h`--ra- - - <br /> Plans app�oved and Permit granled as rE4iiesfed Herein. <br /> - ---��':,L.�.,.�.}�: <br /> -i ' - - 7..._:, . ' - Inspector <br /> BY _ _ ��� )� . <br /> ) <br /> _.. __ <br /> PERMIT �:��� � � <br />