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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance'w'i�h' '` <br />City-Ordinance .. <br />�; � �- _ <br />EYerett, Washington..fr..l.:.: 'l..� ......,,'�..........,. 19ra..i.. <br />_J �. ��.��.',.,� %. <br />Location. ��:�=:.... �.��.�""-'�' <br />� . ................�-- ---��-�------�--.....---- <br />_ ; __. .._ . _.._ ._....... _ .... <br />Owner......`. - - . 2, i �. ,�-w <br />�.c.�' �' ..............................�-----� ---..... <br />,. y-� � - �� --� -� -� <br />PP _ _._.._.. _.. __. .. <br />A_,��IicanL ........:.:...'�' , <br />........................ �--� ----.........-- -...... <br />i <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 />�. _ ,,._ _.. _.__...__ <br />Gas fu�naces to 40Q,J00 B.T.U. input __ _ <br />Gas furnaces over 400`ODQ.,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 <br />. .. _� , ��--r��- <br />Call Back:lnspection _�_.� __ Fee �'aid $ b , <br />� ,...; <br />�o'- (.�_ rl <br />Applicant <br />l�°.�.�. �'2. �' / 7 i <br />��� <br />_v;,-,-,-�-r----------_____------ ,. <br />?Ianrapproved and Permit granted as requesfed herein. <br />� [� <br />--- = �l l`�tx-t�'_. _-----Inspector <br />PERMlT Iv° ��6� <br />