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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AIl V�brk to be Done in Accordance with <br /> City, Ordinance <br /> . .� .- c-- <br /> Everett, Washington......(.:�:.��..?�-� ...(?.5..j._...., 19�.� <br /> Location........,'.��.�..:�---���/�....................... <br /> _. _. ._. . . . . ._._ _Xc';;_. . ... . <br /> Owner..........s-�..P.�t�: . ...... , <br /> �•---�,�Z`�`'...-.-rc...- .._.... <br /> P . ' �; . _- ,. _ .. . . . ._ . <br /> A plicant.....���.L1..'>�1...�...�.....:.:........_..._... <br /> Rough piping inspection _L�._-_ <br /> Pipe in excess of 60' _ _ __ _ Gas Stoves _ _ <br /> Gas re�rigerators Gas water heaters <br /> Gas space heaters to 70,000 B.T.U. input _ _ X <br /> Gas space heaters over 7�,000 B.T.U. input <br /> Gas fumaces to 400,000 B.T.U. input _ ___ <br /> Gas fu maces 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 /> , <br /> � - ---- ..: ----- �� -_. <br /> Call Back Inspection _. _ Fee Paid S-� -- <br /> --�� -- -. . . _-- - -�- APPlicant <br /> I3Y.. _.. .-��--LC.�Iv . - � - . -- , _. _ <br /> Plans approved and Permit granted zs reqo.esfed h�erein. <br /> �jI; �� <br /> - . - --�?-'---'�-"0-L4c-� �' -.�. _ _ Jnspector <br /> gy ��-� %��' � — — -- � � <br /> PEHPdIT AT�' .';�,, � � <br />