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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance'with ' <br />Cih✓-Ordinance - � <br />i I <br />Everett; Washington .:.:...:.... ..f+M. r:....�......., 19.rz.4? <br />Location....----��- �ec _�1�-.. ..��...... <br />. ... ..--- <br />. _ _ _ _. <br />f�,/ _.._ _ <br />Owner __--.-._'•.`A�:?i�.:C::'.'::4:�- - ,��_.�.',�..:/_- <br />� � � �,. � <br />Applicant...��.....��.:..�2<:.?.4.:. "� � �� 5-9-'i.:...... <br />Rough pi(�ing inspection �._ <br />Pipe in excess of 60'� »-__ Gas Stoves __-- _ <br />Gas refrigePators _-- Gas water heaters.l�__ <br />Gas space heaters to 70,000 6.T.U. input <br />� __ .. <br />Gas space heaters over 70,000 B.T.U. input —_ _ <br />_ _ _. _ <br />Gas fumaces 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.�f.U. input <br />Small appliances_ ____._.____�__. __ <br />,��... <br />- - - . _ , _.�.�--- � � - <br />Call Back'inspection -.�_-.Fee Paid $_..�,_^ , _ <br />�z� � <br />--.+-.---- ;-�___ -------App�licant <br />By, -'; _.-�-- �- r �_. �..:/��', �Y 1 _' �_f__�___-_�._` <br />PIan3 approJed and Permit Btanted as �equested'herein. <br />. <br />_ fnR.X!'l:''jd�':-`^'�!__----Inspector <br />By _ _-. . -._ _ K���-}�-- ----- - - <br />f'ERMIT ? � �' <br />