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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordancelwith' '' <br /> City Ordinance - <br /> i � <br /> . : / ,� r <br /> Everett, Washington..........�(;CR.f:.0... ................. 19:4..'.... <br /> � ., ; u <br /> ' 1 .A-tr-�-�: <br /> Location.....-`=-`�-��'- ---.`'� • • --�-••-�- --•. �.......----� <br /> Owner � ....� �.2:� � �'�^""'.re1 <br /> -- ........ <br /> �� ^ ,�1�_ _ <br /> Applicant .... �-t�`�'--- -- - • - -...__ ' <br /> Rough piping inspection �\ <br /> Pipe in excess of 60` > ` - Gas Stoves _ —-- <br /> Gas refrigeretors __—.— Gas water heaters_�- <br /> Gas space heaters to 70,000 B.T.U. input — � <br /> Gas space heaters over 70,000 B.T.U. input — <br /> Gas fumaces to A00,000 B.T.U. input' <br /> Gas fumaces over 400,000_B.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 /> ----'-- �— <br /> Call Back,inspection Fee.Paid �_S_—_._ <br /> - — --- ----- ------_Applicant <br /> sy..__Y,�l'�4=,/__� //l 2. 3----;-- <br /> P�ans approved and Permit �rented as rcqiiested herei�: <br /> ----_�����--�--Inspector <br /> aY I�J,�:%c%----------- - <br /> PERMIT '�T`" <br />