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CITY OF EVERETT <br />ppp�ication and Gas Installation Permit <br />All Work to be Done in Accordance with' ' <br />City Ordinance - ; <br />Everett, Washington,.._--•--- �-''• �=-..�.`3.........,'19.�..l. <br />/ � <br />Location..... �.4?. �..I........ � ..---� rv��__� . . ........... <br />.. . . .. � � ........... <br />Owner- -- --��-•.-•-.--•.--•.----•-•--•�-•- <br />-- n <br />__ � �r �, �.:.....-.-�� ---... <br />Applicant .............. <br />�Z ......:--=�---�:-... <br />i <br />ti <br />Rough piping inspection _ � =— <br />Pipe in excess of 60' -- — <br />Gas Stoves _ <br />Gas-�efrigerators_.--- ,Gas water heaters__----- <br />Gas space heaters l0 70,000 B,.T.U. input <br />Cas 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�- 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 />�%- c*Y� � <br />Call Back,lnspection __. _ Fee Paid $!-- f er--r- <br />_ —i____ --*'---- 7-'—"%. - <br />_ Applicant <br />'', �. z�s t. <br />_ �c ` L_, ;-=; .� _ -------- <br />pY�• i -r"-"" <br />_ �Zc t;, rL-,._ —___'_"' ---T.,i <br />Plans app�oved and Perniit granted as ?equested herein. <br />� _ . � : 1��',�-a Inspector <br />- — - -- � ' �I <br />/ /j ��._�' <br />�v T� �}32"i <br />PERMIT I� � <br />