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� <br /> CITY OF EVERETT <br /> Application and Gas Insfallation Permit <br /> All Work to be Done in Accordance wiih <br /> City Ordinance <br /> N <br /> Everett, Washington..--.�'.�•-{`.�..-----..7....�.�..�......., 19L y` <br /> r.: <br /> ;�i : � '.�.� . <br /> Location " <br /> ....--p�-•---�-�---•-��,-:-......`........--�-•-----�.................... <br /> r.� <br /> Owner....--�•�:+�^---......�:.1...---...�{�'�� :................... <br /> . . � G-� .y 'l <br /> JJ . ; ti• 5 .• <br /> Applicant ........................................................................ <br /> Rough piping inspection <br /> Pipe in excess of 60' __—_ -_. Gas Stoves _- _ _ . __ <br /> Gas refrigerarors—.—_ Gas waten c�aters.-X._ - <br /> Gas space heaters to 70,OU0 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 _—_—_ <br /> Gas fumaces over 400,000 B.T,U. 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 /> -- --'„k'__ <br /> f o <br /> r� <br /> Call Back InsR�ction r _ Fee Paid $__h_�_:� <br /> } �1 - <br /> c:^ ^ (�.• ,J •. —APP.licant <br /> —Ll VV" I — ---- <br /> BY — -- <br /> Plans approved ar�Tl Permit grented as requested herein. <br /> � b <br /> �`�`�`�---- _Inspetror <br /> BY - - ------ ---- <br /> PERMIT --� =�- `� �� <br />