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CITY OF EVERETT <br />ApplicaPion and Gas Installation Permit <br />All Work to be Done in Accordance with <br />City Ordinance <br />Everett, Washington....._��:.:'_.`.'.".: �...:......., 19��..... <br />Location .-. ' i :' ,' -'.Y� r <br />�r..........—�------' ... ...................—............ <br />,' :: <br />V-- — <br />,.., ct.. v +,•.,,t:,,,..�,_ <br />Owner .........:........... ��---.. ....------'--'--.:..... ' .................... <br />j/ r <br />Applicant . i.. . .'{ <br />........................................................_._ ..... .... <br />Rough piping inspection _-"C�-_ - <br />Pipe in excess of 60' ____ ___ Gas Stoves <br />Gas refrigerators _____ _ Gas water heaters <br />Gas space heaters to 70,000 D.T.U. input __'� __ <br />Gas space heaters �Jer 70,000 B.T.U. input ___� <br />Gas furnaces to 400,000 B.T.U. input ______ <br />Gas fumaces 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 />Call Back Inspeaion ___ Fee Paid $-1�` rs.__ <br />d_F <br />%d (i . � <br />� � _ Applicant <br />��, �.'��.� �r . ��.1a �=.s _ _ _ <br />By- � — — -_ -_ <br />Plans approved and Permit granted as requested hcrcin. <br />. il"s <br />N <br />� 'f �'/i'1&_.,.,yr - - - - _Inspector <br />---- `-=--- <br />�y <br />PERNlfT <br />