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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AIl Work to be Done in Accordance'with <br /> - City Ordinance <br /> r <br /> � , <br /> Everett, Washington.......::rL��'.."-..:.±�...::........ 19�.�..�.. <br /> / i Z y �..,( <br /> Location.............i_r`",1 ---.U...---!i.`.! �� <br /> . .. . ._......:_--. ., _. . <br /> Owner...............:..:.:.....^.!'�.....�.....^...�`.'e.'fi6�LR�...... � <br /> , � , __. . ,�,,f {�— ,Q�� <br /> Applicant...�...:�, ..ri`2:4'.t.+.f.?.�.N..S:�.�...`3S�:cSr4�'5.-�.... <br /> Rough piping inspection <br /> Pipe in exmss of 60' _:' Gas Stoves ____ __ <br /> Gas refrigerators . ._'— ___ Gas �water�heaters _..X__ <br /> Gas space heaters To 70,000 B.7.U. input <br /> Gas space heaters over 70,000 B.T.U. input ___ _ __. <br /> Gas furnaces to 400,000 B.T.U. input _—_______ <br /> Gas fumaces over 4�0,OOO.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 /> �. .i' <br /> Call Backlnspection _—_ —.. Fee Paid.$..L�,.,_ <br /> , _. <br /> _,.--- APP.I ic�n; <br /> sY.. _.�L•�,_f�'�1�`L'_`� _ ___. ,__.-- <br /> Pl�ns epproved and PermR�gianted�as requested'lierein. <br /> � <br /> � <br /> ' �� � � �'��' ""� __ _Inspector <br /> � � <br /> QY� - JL /��`=.----�---- — <br /> PERMIT '':�" <br />