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CITY OP EVERETT <br />APplication and Gas InstallatEon Permit <br />All Work to be Done in Accordance'wi�H' <br />City Ordinance <br />Everett, Washington......_�i�;v. � j <br />(7 � .....�._...-•---,.19E'.�.. <br />Location.....�.�? � .J <br />---�� . ........ ..... •�--- •-•--- <br />` /� '--� -- <br />........ <br />"`'`^--�-� _ _.. <br />Owner � _ _. ...� n� <br />: .�rxaR—X <br />--�- <br />.... <br />Apphcanf,-'--.... _ _� � �-. <br />Rough piping inspection (( <br />—L, -- <br />Pipe in excess_of 60' <br />, — Gas Stoves � <br />Gas refrigerators ___ <br />- 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 400,000 B.T.U. input ______,__ <br />Gas furnaces over 400,000 B.T.U. input _ <br />Conversion unils to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input __ <br />Small appliances_____ <br />Call Back Inspection L� � <br />_ Fee Paid $ <br />_� — -- <br />— ---APPlicant <br />By._ <br />Pla'ns approved and PeFmit granted as requested herein. <br />-- - -- � ���---- — — <br />� <br />Inspector <br />3)' _ _ ✓"� ��� <br />PERMIT N" �3��� <br />