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CITY OF EVERETT <br />4Ap�liution, and, Gas In�tallation Permit <br />All Work to be Done in AccordanceN4i�lvCjO1 <br />__ , ,(�Y� _�,,... I �;ty.Ordinance�t`. .....i ___ _ __ <br />, i � ��; . <br />f \ `�%�� �''�" / / <br />Everett; Washington :.::::::::::.:'�S;:R!:'.'::'.�....�.......,..1RY1..6. <br />Location.--�-r`j�-: �� �---��.�..:.�t�.:......,:.....:: <br />-- __._.. <br />Owne�.--••---CI.a.,.�.�......s.l.:iE.c14-rr1f. �!'.".`.-t•`•••�.......... <br />. .. . ..,. .. _ ............. ........ <br />:Y '7`..p� i ilj <br />Rough piping inspection � <br />Pijfe�in exces3 i� p60i ; �Cas;Stoves <br />�.�.�..t. <br />�C-.af-refri�eratbr& 1 �G�"s water heaters_ <br />C�s space_heaters to 70,000 B.T.U. input � <br />1 `• �h', _ _ _ l� �c .... <br />Gas space heaters over 70,000 B.T.U. input <br />iA.bc �,�... ._ . . .... . ,.�._ z- ..__....__._........ <br />Cas furnaces to�A00,000 B.�.�1. ii�put <br />Gas fumaces over 4�Od0�.�6��� input <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />Stqall�appliances <br />�� � <br />v <br />- � ., .'.-. .. � '/ �..��,,,. <br />Call Backiln`;pection-_ -Fee Paid $_r��.. <br />\" <br />, <br />_ . ARplicant <br />� _ � <br />( . <br />�y�'� � � <br />PIal�4`6��roved�and P rriyrgranied;as rcqueslediF�igin. <br />� r5 , , . � . <br />_ tLnF4 1�E� Inspector <br />BY-----� f� 'L.J <br />PERMIT N�' 4� i-� <br />