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CITY �F EVERETT <br />Application and Gas Insi��laTion Permit <br />AIl Work to be Done in Accordance with � <br />City Ordinance <br />Everett, Washington.---.....�`�-'� _:.�..�.�.--'-_I.a..., 19�'.S -- <br />o� J'+4 � ��--�'K-dn.FL h7 �l . <br />Loca tion .................................�-/�--� �----�---�--......------�---........ <br />. _ n p.. . . ......... ..... ....._. .._..._. _ . <br />O�vner.......�^'�'�. ---��----..A.�i b-�t.4�.t.Q.. <br />--..... _ ............. ................... <br />,:., � %� . %.�.°; �D. _ <br />Applicent......-- -- ...........................-- ---................. <br />Rough piping inspection —."`__ _ <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 fumaa=s to 400,000 B.T.U. i <br />. nput <br />Gas fumaces over 400,OOO.E3.T:U, input — <br />Cenversion �rits to 400,000 B.T.U. input <br />Conversien units over 400,000 B.T.U. input _ <br />Small appliances_— _—_—_ .. _. __ ____ __ <br />_------- _ .. . -------,t—�''a$�- <br />Call Back lnspection -__ _ Fee Paid $_`l,_..__ <br />_ _ <br />_:..`. ---.-/�1_.._�.L.�.---- --._ .ApRlicant <br />�t � q <br />By-, -"�----l.-�C.�tr.--�/�/ i <br />plans approved d Permif granted as requested'herein. <br />J� <br />_ -- ' ���'— - � . , -- _Inspector <br />� . <br />BY - — <br />PE�MIT �;`` ".�,G,�� <br />