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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance'with <br />- City Ordinance <br />Everett; Washington .:.:..::.:. :.. ✓�:�s.:,.(..:.. :....., 19..�.1.. � <br />Location-----.---� �-0�..�O..r�.s_..C.,..�/.1...--....... <br />Owner---�----..._.. ��Y:....�,�`-�1/lt-.� ......................... <br />i.. .. ....... .. .... _ . ;., _. ._....._..... ... <br />Applicant `-- --.. . .`.�-_.� ...........:....._:.................. <br />Rough piping inspection __��___ <br />Fipe in ezcess of 60`-':�_::--- Gas Stoves -__ <br />Gas ,refrigaraiors __—_ _ _ ; 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 400,000 B.T.U. input _---__ <br />Gas fumaces over 4JO,OOO..B�T lJ; input __ <br />Conversion units to 400,OU0 B.T.U. input __�- <br />Conversicn units over 400,000 B.T.U. input <br />Small appliances---_—�.�__-__.� _ <br />— ->—_----- �.`�---- <br />cid� <br />Call Backflnspection-_—___.__ Fee Baid $__ ����._ <br />-' _ -------[- ----/- - _ _ -- - , P.pnlicant <br />�. � j � f r� ' :-T � i7 �f .S �. _ . _. <br />By_. .. ' _'_ _ _ ,T- ` __ '— 7 ie.—_. <br />Pfans'approved and Permit granted as requesfed h2lein. <br />I}, ;/4C.i�� _�r,"- --- Inspectcr <br />[3Y '.��� %�- --- _ _ - _ •'� <br />� <br />PERMIT i�l`.' 3`''"r <br />