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� <br />� <br /> CITY OF EVERETT <br /> App(ication and Gas Irsstallation Permit <br /> AIl Work to be Done in Accordance:wiTF' <br /> City Ordinance <br /> /� ' f � / <br /> Everett, Washington..:.:..(!::'N?! :....:�f:..--...., 19..4'.•� <br /> Loca�ion.........'"� „1 ':'� � �i2 t�:��t''r%t" :,i <br /> _...� � ---- `'n .... ..... <br /> ner ✓1.1"n" l,rCc�r-G.�C.� --- . <br /> � <br /> f <br /> P, , �� � _ . <br /> Aplicant.............::.cr.........._.��---�--..................----... � <br /> Rough piping inspection --__ <br /> Pfpe in excess of 60' _ ______ Gas Stoves _ _�y _ <br /> Gas refrigerators _—___ _ Gas water heaters�1�__ <br /> Gac space heaters to 70,000 B.T.U, inp�_�t _X�__ <br /> Gas spacc heaters over %0,000 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 /> Conversion units to 400,000 B.T.U, input _ <br /> Conversicn units over 400,000 B.T.U. input <br /> Small appliances- --.-- ------ - ---�.._.��._... <br /> -- ---�------- — _ _.3.�,... <br /> Call Back!Inspecticn ___ _ .Fee Paid $ .�_i.�_.,, <br /> L'• .I'-- � — �PPlicant <br /> By , � ., �,._ �.. � �� <br /> l� Ii L <br /> Plahs'approved nd Permif granted as rcquesfed!lie�ein: <br /> . _ - �LLY''�� _ � 4T 7 ���!JGG__Incpectcr <br /> �Y _1�` )'I`.__.-- �_ --- _ <br /> PER�dIT ���" ' � '� <br />