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CITY OF EVERETT <br />Application and Gas Installation Permit <br />AIl �'ork to be Done in P.ccordance with <br />City Ordinance <br />� ./7 , ,. <br />Everett, Washington.:::�A:, :::..S�k:....I..�'. , 19�:::�.7 <br />. <br />Lo�ation.....1...?�-2... --'....... �.. � ..----/.t./..��...... _... <br />,, �,t __ . <br />�n <br />Own� -----� `� �i� '�' � .d?r� .. <br />, , � �7.�-, , <br />Applicant..............�.d........--- --...-- -... ....... <br />Rough piping inspection .—__ <br />Pipe in excess of 60' Gas Sfoves ._ �( _ <br />Gas refrigerators — ,Gas.water_heaters.!\___ <br />Gas space heaters to 70,000 B.T.U, input -- __. <br />.., i: .. � � . . <br />Gas space heaters over 70,000 B.T.U. inp�t <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.T.U. mput <br />SmaII,; aPPliances__—.�_._.�-.-------------- -- <br />--------... ��.------ --Q;== ,-- <br />Call Back;Inspection._,.—_.._._.Fee Paid S___/_;,_,�__ <br />... --- _.Aq�licant <br />} �--^�--- --� _— /, <br />B���.r��a..,i - .;rt.��.n<-•r�:�""� <br />yti _ �_ — ,.. --- <br />Plans approved and Per it granted as iequested'Fterein: <br />"" Y <br />— _ ' � �� � _ _Inspector <br />. �`_- <br />i" <br />�. _�l- _— _ <br />aY - - ! - - <br />PERMIT T����� ���` � <br />� <br />