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CITY OF EVERETT <br />Application and Gas Installation Permit <br />A!I Work to be Done in Accordance with <br />City Ordinance <br />��� � 6 � i <br />Everett, Washington--_" Fr" � ...::::............... 19�'.%'.. <br />_, � ! <br />.t �� i , . <br />Location.....-j-�<:...t..... Q_ c..Y'!'.::. ... ---� .............�.j_....... <br />l.�d..v- �..--.4' . �� �r . .Y <br />Owner.._ .................. i %?::.`.::::'�:....... .... <br />. ,... ..... <br />•-•'----_ � - <br />1 ' � <br />_ .� _ <br />Applicant .............:�J: _F..�_. <br />....................... _... _...... _...... <br />Rough piping inspection _�— _ <br />Pipe in excess of 60' _. __ _____ Gas Stoves _____ <br />Gas refrigerators ___ __ Gas water heaters._..____ <br />Gas spacc heaters to 70,000 [3.T.U. input _ �_ ___ <br />Gas space heaters over � 0,000 B.T.U. inpi�t _— _- <br />Gas furnaces to 400,000 B.T.U. input __ _— <br />Gas furnaces over 400,OOO.S.T.I�. input <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over A00,000 B.T.U. input __— _ <br />Small appliances___.. -------- .---- _..__— ---- -- <br />- --- — --------..,.,_._— � —`--`---- <br />G b�" <br />Call Back�lnspection ___ _—___ Fee Paid $__�L,�_._ <br />,_,. -___ _Applicant <br />( �-sc�'�..�°— -- — - ' <br />By.;-.-�. �---- -.— , "-- <br />P!an5 a'pprcved and P`�mit granted as �e.quesfediRe�ein. <br />.� � <br />--- -- �—��(��• . �'-� � _ �:�.i--- _ .Inspector <br />�'� <br />[3Y . �- '-.''''L..— -._.—.. — - <br />PE4MIT <br />