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�ITY OF EVERETT <br />Application and Gas Installation Permit <br />All Worb. to be Done in Acccrdance�with`� <br />City Ordinance <br />_. • - ' , � <br />Everett, Washir_�ton:.:�.��:"�'�.... � .............. 19�....... <br />:� . 7 _ � <br />Locatio.t._- :'...�..r.._� ' <br />......... ....... ........................ .."-----.... <br />�. .._ ,�..._. ---.. .. <br />Owner.._ ..%.f.�n. IJ........ <br />. .. ..... ......... ......... <br />�� <br />��.. _ _._ � �.. <br />Appl ica n!.......i�:.+Y�L�..!�......,'. �:':.::t:.' �...... �.. _.. _ _. _... _. <br />� <br />P.ough piping inspection ___�. ._ _ <br />Pipe in excess of 60' __ Gas Stoves _.__ _ <br />Gas refrigararors __ __ , Gas water heaters.�—__ <br />Gas space heaters to 70,000 B.T.U. input <br />Gas space heaters ovcr 70,000 B.T.U. input <br />Gas fumaces to 400,000 6.T.U. input _ <br />Gas furnaces over 400,000 D.T.U. input <br />Conversion units to 400,000 B.T.U. input �Ll- - <br />Conversion unils over 400,000 B.T.U. input . <br />Small�appliances_—____� _�______ <br />Call E3ack,lnspectir,n �_ Fee Paid j�'� __ <br />. , <br />._..��.------ ---•--'-----�.ARplicant <br />� / � ' ' <br />By.. �w,.,:- - � -�` —'-�i_� `� �L�,7 _�; _ ._ <br />Plans apprcved and Permit granted as reques,ed;hcrcin. <br />��7L'±t'S_Q�`�''�')� ��._�:"' —_. Jnspecto, <br />i <br />a1� - - - � � � -- \ - — — — ---- - <br />PERMIT ' " <br />