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CITY OF EVERETT <br />Application and Gas tnstallation Permit <br />AIl Work to be Done in Accordance with <br />- City Ordinance <br />^ <br />Everett, VJashington._...__.._��p�-,,,,f �_...__ �q�? <br />Location......_...7..� n. Z ........... .. <br />' .--'.-- . <br />� /' _. _ ) <br />.- ....... <br />Owner........c3:..A�S..Ctzz.�....... ! 1��.... <br />P.pplicant...........--�... - _� <br />...... ......................- ----......_ <br />Rough piping inspection _._lx_ <br />Pipe in excess of 60' .____ - Gas Stoves - <br />Gas refrigerators _._._____ Gas water 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 (urnaces to 400,OOG 3.T.U. input _ ___ <br />Gas turnaces over 400,000 B.T.U. input ____ _ <br />Conversion units to 400,000 B.T.U. input �__ <br />Conversion uniTs cvar 400,000 B.-i.U. input ____ <br />Small applian�,es---_ ___ <br />;.�._,.... � � _ <br />Call Backilnspection _ Fee Paid $�' .,_ <br />�-��------T--- --______Applicant <br />, <br />� �. � �, <br />C.lu �c <L���2 <br />QY�;----c------------- �------�------ �----- <br />Plans'approved and Pcrmit yranted as requested herein. <br />F�' , i <br />- — -- ��'1 �� �--- - -Inspector <br />i i)�) <br />��„ "�/ - - - -- - <br />`� �� � _ _—_ _ <br />PERMIT �'�"' =�3fit� <br />