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CITY OF EVERETT <br /> Application and Gas Ic�stallation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance <br /> . . • _ <br /> '-- '� �� . <br /> Everett, Washington.----^..:. .:.......................... 19:,::._�.. <br /> Location:.�,.. ' � �. , <br /> r <br /> _ � w h+� <br /> .. .t.,._. ....... .,.: <br /> i <br /> �� _ _ / <br /> Owner - .y._. }�. 6 i;:., z'�i:a�'�1` -! <br /> __ <br /> _ , , <br /> ��. , _ �i_ _ .__ . , <br /> Appl ican t...........`.:._..."�..!�`�':::'. . <br /> . ............_... ...._..... ._.... <br /> Rough piping inspeetion � _ <br /> Pipe in excess of 60' _ ___ Gas Stoves _ <br /> Gas mfrigerators __ _ _ Gas water hr.aters. .. __ <br /> Gas space heaters to 70,000 B.T.U. input _�`�.'� . <br /> Gas space heaters over 70,000 B.T.U. ir5put __ _ <br /> Gas furr�aces to 400,000 B.T.U. input _—__ _ _ <br /> Gas furraces 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.. _. <br /> " Call Back Inspection ��___ Fee.Paid.$.�i�. __:__.... <br /> a . <br /> . .�.�.----- - -- ----- '----------- _. .--- �pplicant <br /> j <br /> ; . . �. <br /> By.. .._ _ r_. r.: . r �' /i ..'. / ` <br /> P!ans approved ard Peim�t granted as-,m��ucsted herein. <br /> -- _ :_v����J..'N``'�-Y-<,'�- ' _ - _Inspector <br /> 6Y _ __ . . �' --- - <br /> PERMIT T�" `� ` �� �E` <br /> � <br />