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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with <br />City Ordinante <br />% /" .. <br />Everett, Washington..:..:.��::P.1".':....' � � � <br />............... 19 `...`.. <br />Lowtion_ ...... ` : � O % .f�?�� ................ <br />.....-- -• <br />,..__. .__ .. . __ <br />`) ) _ �.�.�... <br />Owne � .. ...........l.�:!�?t..... �............................-'-'.... _ ....... <br />IH �',•�� � ���*� � <br />r <br />�... . <br />Applicant.._.....'-"........a�'.'t': �sr.. .. �..,• �J <br />. .. _.. _ .. .... ............ ----.... _. <br />Rough n �oing inspection - '_�` <br />Fipe in axcess of 60' _,__- _ C;as Sloves _ <br />Gas refrigerators __ —_ . 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 />Gas fumaces to 400,000 B.T.U. input _—____ _ _ <br />Gas fumaces over 400,000 B.T.U. input <br />Conversion units to 40G,000 B.T.U. input __�_ <br />Conversion units over 400,000 B.T.U. input _.— __ <br />Small appliances- ---_-_-._---_._--_--.._----- -- ... <br />--- --- ___...^l `1 ...__. <br />Call Back Inspection .�____ - Fee Paid $_! .__ _.___ <br />--- —' -- — ---�-- -- -- — _...Applicanc <br />„ � <br />fsy.. �._:_�r_Ll "R'" /3.i%� _.—____,�__� <br />Pl�ns approved and Permir granted ae requested:liercin. <br />__-( l_. r f�1r.��r �;-t.''�."___ -.- .�f15�7Cri0' <br />�i} '_ <br />PERMIT <br />