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4 <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance�with <br /> City Ordinance--. -- <br /> Everett; Washington:..:...::....�:!.`.$!...�.........., 19�.U. <br /> VfI� p <br /> Location...........h 3..�.I.......'.(.�?�P-�-!�..................... <br /> Owne r...........l:t�.�k1�<nr�ta±---...G.!.�.":7'!"!r`:.........:. ... <br /> APPI i cant--••----I,'�":�:1:�:.^..?�.'L�::`-':.�`,r�Tl.�-�--..._... <br /> Rough piping inspection � <br /> Pipe in excess of 60' —' _ Gas Stoves _--— <br /> Ga,-refrigerators — Gas watec-heaters.._C� <br /> Gas space heaters to 70,000 B.T.U. input _--_L�—_ <br /> ,,.� <br /> Gas space heaters over 70,000 [3.T.U. input <br /> �, _ _ __ _ <br /> Gas furnac�s to 400,000 B.T.U. i`n'put — <br /> Gas fumaces over 400,000-.B.T U. in ut _—_— <br /> ,�_,�._:� � .ii .�� � P <br /> Conv�rsion units to 400,000 B.T.U. input _ <br /> Conversian units over 400,000 B.T.U. input — <br /> Smal! appliances__ —.- <br /> c..' <br /> -- -��--�.__.____� <br /> �,. ,� <br /> Call Back�lnspection- —�_ Fee Paid $�.�. <br /> , � <br /> ,�:..,-. . __ _--,_.� ___AppJlicant <br /> By.. �._.����Z�..�..� <br /> IU <br /> plans'approved and Pe�mit granted as requestedlRerein: <br /> � <br /> _ ___�.F�, �' �::;___ __Inspector <br /> —�� \�,� <br /> QY--- S.-C/L.. — - <br /> PERMIT A�° 3�0,� <br />