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CITY OF EVERETT <br />Ap�plication and Gas Installation Permit <br />AIl Work to be Done in Accordance with <br />City Ordinance , <br />Everett; Washington.-----..r�r...-::.-.�l...---......, 19.C�.� <br />Locaticn_...� �:..�.7'..'.1"l�............ <br />... %� � <br />Owner. --�--- ��- �---� .4.�...."..�%.....!-.f........---...-�----..... .�..----.... <br />. .. <br />�r ; 1 .... -_ __ _ _ <br />h +� <br />Rpplicant_ - .....:.. .... .... .•--.....: .:..:.....- .................. <br />Rough piping inspection �1--_ <br />2!;;e in excess of 60''__ Gas Stoves ____ <br />Gas .refcigerators _ __ __ Gas watec 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 furnaces to A00,000 B.T.U. input <br />Gas fumaces over 400,000. B.T.U,� input <br />Conversicn units to 400,000 B.T.U. input _� _ <br />Conversion units over 400,000 B.T.U. inpu� <br />Small appliances- ---__-.---------.. <br />� .. . <br />�..��� �- r i� �' <br />Call Back Inspection--.-- Fee Paid 5_ �. r_.__ <br />�_.__�_ _--------�--- ---� - --- Applicant <br />� , �. <br />' r, , <br />!3 . _._,u_ _ i__�I:.-L-4 ! c� j-5-�-�- ._.... <br />Y- <br />, <br />Plans approved and Permit granted as requesled he�ein: <br />� ..:'' h <br />. -- -_�'� ` �"�'.���.�' Jnspector <br />� .Y <br />ab _ _ . . __� _�J � _ _ _. _ _— _ _ _ ' <br />PERMIT '_;" ''`,r�t' <br />� <br />� <br />