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CIYY �DF EVERETT <br /> Application and Gas Ins.allation Permit <br /> AII V�'ork to be Done in Accordanceltvith ' <br /> �` City Ordinance - <br /> i / <br /> m� , b � <br /> Everett,�Washington::.:......:.:...:.:.: ............:........ .i9L:..�.. <br /> hJ <br /> Location..........3u.�.� ,(.�!1::A..?..s-�! <br /> ...... .... ............ ....... <br /> __........ . ... . .. <br /> �� T �' ,,q[�'�� ,,�� <br /> Ov.�ner---..�......'...�'/1:+.-dd:.2.:.LT'..`f.'.".`..`.�+:. <br /> . . .. . _ , ...... , 7 .._ _ . _ .. _ __ _. <br /> ... APPlicant...... .. ..�.�.-:� -�r.................................. . <br /> Rough piping inspection �_ <br /> Pipe in excess of 60`_ — Gas Stoves _ _ - __ <br /> Gas refrigerators _ _—__ _ Gas water heaters_.L1__ <br /> Gas �pace heaters to 70,000 B.T.U. input __��.-_ - <br /> Gas space heaters over 70,000 B.T.U. input _—_- <br /> Gas fumaces, to. 400,000 B.T.U. input __ _ <br /> Gas furnaces over 400,000 B.T.U. input <br /> Canversion units to 400,000 B.T.U. input _ - <br /> Conversion units over 400,000 B.T.U. input <br /> Small appliances_-�_�_____..�-- ----_--.--- -_ <br /> - ---c"t.'-'_'_ .._y__v._._�r.,�_. <br /> o-e <br /> Call Backflnspection -_�___.�__ Fee Paid 5�.�.-. <br /> ..._,,_-._.�_.- ---��..- -- ___ ---._•_..Applicant <br /> / _y� .' % <br /> By.. - -, .��:,�. ca.JS.._`-t_, -'�-� --- - <br /> �. ."� ., <br /> Pfans approved and Peirriitgrented as requested 'heiein. <br /> ) � <br /> ___-__- ' '��'��'_�_' .Ins eCtor <br /> `�'��--- P <br /> eY _ ---�� _llL — — - - -- --- <br /> PE�MIT �T� :'=T '- :, <br />