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CITY OF EVERETT <br />Application and Gas lostallation Permit <br />All Work to be Dene in Accordance with <br />City Ordinance <br />j �---....1--�••�-� . : <br />Everett, Washington .r .,_/�/,,..,,,,.� )94:_j <br />i� , J i ' ¢--- <br />Locafion.. .1`^I.GL�7LC •l�r.� (- --:- --, . <br />, l. . . ._ _ . .� . <br />. <br />/ � !� 1� � <br />D�NI1Bf �...�` b ... .�.... . �.fi.Cc:L.6b.•..f[G.. <br />� y 1 � ��... .. <br />_ � � ' _,.... .__.... <br />Applicant...�.:..........f..f..._2.'.'J.....�...,._E�---..' ............. <br />Rough piping inspection � <br />Pipe in excess of 60' _--_ :.'�Gas Stoves -__ <br />Gas refriEerafors ._._____ �Gas water heaters <br />Gas space heaters to 70,000 B.T.U. input __ <br />G . ...... <br />�:,s s ace heaters over 70,000 B.T.U. input __ <br />G�s furnaces to 400,000 B.T.0 <br />. input .—_ __ <br />Gas fumaces over 400,OQQ. B.T.U.. input <br />Convcrsion units to 400,000 B.T.U. input _�_ <br />Conversion units over 400,000 6.T.U. input <br />Small appliances________.�___.___ <br />� - --.---T-. —%—Z�r?r,-. <br />Call Backllnspection ..._____ Fee Paid $ / ; �„- <br />,��i�------- _-- _---... Appl icant <br />�.� <br />' /� �y � .. ; <br />� . ;•„ . _, <br />. ._»_ _'-.-�--- <br />-'--,.�.._-- .._� �- <br />� -i� -- - ------------- �., .. <br />F'�aris app�oved and Permit granted as requested herei � <br />�. ` <br />J � <br />., <br />- - f Y..��_;.;_'.�;�i"� ----� - —_Inspect,�� <br />c} ( <br />PERMIT :�;,' � •""�, <br />