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CITY OF EVERETT <br /> ,._Application and Gas Installation Permit <br /> All WorkVto be Done in Accordance IivitiS'=�''' <br /> ___ _ City..Ordinance ._ . ..__. _.. ... .._ <br /> Everett,.WashingTon..._"::::e:U..�.....................1.�L___ <br /> t <br /> Location....��O.,�--••-- .e.;c.��........................ <br /> _ _ _. . _p.�. _...�.�.� _..:.........._... ...... .__ ..-._ . . <br /> Owner---...�::i�?c<i?:r.....��-�eJ...........................•. <br /> � -�ut• ,,._._ ....... . . . . .. .. <br /> ..........._ _ _- ..... .__.. _ <br /> F�pplic�ant---.........! .-•---•...... ......................................... <br /> Rough piping inspection __ <br /> Pipe�in excess of 60' Gas-Stoves- x <br /> Gas.refrigerators._ �C�s .water heaters. <br /> Gas space heaters to 70,000 B.T.U. input <br /> 1'_. !'/.'., .. _ . . ._ ;;�be �.... _........__....__.... <br /> Gas space heaters over 70,000 B.T.U, inpur <br /> ' • \I�;; � ,-... .__.._. . . _. a �.,....._. ._.... ._._ . . .. <br /> 6as fumaces ro 400,000 B.lL.ly.'"inpuT _ <br /> Gas fumaces over 4�0�0�_�tT�� input — <br /> Conversion units to 400,000 B.T.U. input — <br /> Conversion units over 400,000 B.T.U. input _ <br /> Small appliances— <br /> _--r�—�r�______ _—�=b.,_._ <br /> i ae� <br /> Call Back�inspection ._�—.__Fee.Paid.$/�,. <br /> /+ licant <br /> —c�—. PP <br /> " ' ��.�,,�� ���___--;�-_ <br /> P�r-�F-- <> <br /> _. , <br /> Pla §�Ap�roved and Permit granted as requesfed lie'rein: <br /> /C�� � �_ � <br /> � ' �.�'�"�!(_."`izTLC�N.LZ Inspector <br /> BY--- --��—�' - <br /> PERMIT N:' 4918 <br />