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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 /> / �1�..�..�..fti. : ♦ . <br /> / <br /> Everett, Washins�on....................•-��---.....�........, 19::.�.... <br /> , � { ; ...,�.,.., <br /> � ,. , . ,-, <br /> Location .........: •-;•�-�.........:.......•�-----•--...... <br /> .......... ............. <br /> : , .� .� <br /> , , . •.,w..._,__�. <br /> .. .. • ,_ , � <br /> Owner...........................'--..............-•--.........-�---�---............ <br /> . .� f; ry_r.:_.o . <br /> Applicant .....:.:................................................................ <br /> Rough piping inspection � -- <br /> ti <br /> Pipe in excess of 60' --.- Gas Stoves .- - ----- <br /> Gas refrigerators_---- Gas water hearers-�_`._ <br /> i Gas space heaters to 70,000 B.T.U. input _____ <br /> Gas space heaters over 70,000 B.T.U. input — <br /> Gas fumaces to 400,000 B.T.U. input - -�'x-. - <br /> Gas furnaces over 400,000 B.TcU: input -.—___. _ - <br /> Conversion units to 400,000 B.T.U. input _ _ - - <br /> Conversion Units over 400,000 B.T.U. input _. _ - <br /> $mall appliances_ �.. � �E.. '.. x ':; ,,...-� ---- <br /> R � I�r.V � <br /> ;�.i..: ...�... ^t�c�.J:.,w.� - —_�_�_..�.: <br /> . �ro <br /> Call Back Inspection _ Fee Paid $__./�-_ <br /> ---- .----�+PPlicant <br /> - — <br /> i...�. L. r `d�i� �:. <br /> BY- -- —-- <br /> Plans approved and Permit granted as requested he�ein. <br /> t• t '.` r.• - ' _Inspector <br /> ------ ---j-- --- <br /> ,' :i . <br /> BY --- --- --- -- <br /> --- -- - - <br /> PERMIT �>-'-`�� <br />