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CITY OF EVERETT <br /> Appl9cation and Gas Installation Permit <br /> AIl Work to be Dcne in Accordance with <br /> City prdinance <br /> „ <br /> i r �, <br /> Everett, Washington.::C�'..;'-�.�-:5................ 19�-� <br /> Location.... .I.b�.�......_�q✓T.---��---�............... <br /> u y N � . �.. N..!.K.............. <br /> e r...�... .P_ _ <br /> Applicant.:........�............:. ..�'....-- ......_-........_ � <br /> Rough piping inspection ——_. <br /> ' Pipe in excess ofr60'' _ Gas Stoves _,__ <br /> Gas refrigerators _____ Ga, water heaters __ <br /> ! Gas space heaters to 70,000 B.T.U. input _ <br /> � <br /> Cas space heaters over 70,000 B.T.U. input _____ <br /> Gas fumaces to 400,000 B.T.U. input —_— _ __ <br /> Gas fumaces over 400,OD0 B.T.U. input __ _—__ <br /> Ccnversion units to 400,000 B.T.U. input _ _ <br /> Conversion units over 400,000 B.T.U. nput __ __ <br /> Small appliances__S��✓_�2�.�Y��'�_ <br /> 0.'..' <br /> � - - ----.---- --- i-zr-- <br /> :.�all Back'Inspection._______ .Fee Paid $ �. � <br /> ��- <br /> _-_� - __ _-=Apalicant <br /> , <br /> " - -�------- - ---- <br /> Plans�approved and Fermit aranted�as reyuested ,hemin. <br /> ( <br /> /E' � . . <br /> T'Ld � <br /> --�— (-�: -----f-- --------Inspecter <br /> �Y . - .__����=/. _. . . _ _._. — . <br /> PERMIT i�:" �'�5'7 <br /> . <br />