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CITY OF EVERETT <br />AppliaaFion and Gas Installation Permit <br />All Vdork to be Done in Accordanoe with <br />City Ordinance <br />� ` ) .� <br />EverMt, Washington .....................:..................... 19.:...y. <br />• s ' <br />, � � i-�-�j � <br />Location .__. : <br />.............................. ............................. <br />� ��,; r <br />' f-----.�s�o.:s.'... <br />Owner.........�..:. �� ............... <br />....................... <br />� t .i. '� i <br />Applicant....�...-� :...................................................._......... <br />� <br />Rough piping inspection__.__—..__ <br />Pipe in excess of 60' _ _ _ Gas Stoves . <br />Gas refrigeretors _ Gas water heaters � <br />Gas spate heaters to 70,000 D.T.U. inp,it —__ _ <br />Gas space heaters over 70,OOC li.T.U. input _ <br />Gas furnaces to 400,OOG B: i.+J. input ___- <br />Gas furnaces over 400,000 B.T.U, input __ ._- <br />Y. <br />Convcrsior, units to 400,000 B.T.U. input . <br />Conversion Units c�er 400,000 B.T.U. input <br />�mall appliances- ---- -_.- -._------ .-- -_ .. . .. <br />---r— ------------ - o c-�-- <br />Call Back I�spection _—_— _ Fee Paid �— �._ __ <br />�. � �� ? "1 <br />---- - -- — ---- --- APPlicant <br />'�i•_L•_�'._ � „'i (v r�.i :� <br />�Y�--- ----- --- —� <br />Flans approye�d and Permit grented as requested hercin. <br />%>.-.�` <br />�`P��� } � t"" <br />�_ -�� -- '`� � .---- ---Inspector <br />[3v <br />FERMIT " <br />