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f,ITY OF EVERETT <br />Application and Gas installation Perrr�it <br />All Work to be Done in Accordance with <br />City Ordinance <br />Evemtt, Washington--- ,.....`..:..'::....:-�.........., 19.::::... <br />Lowtion ' . ' ` �.-''..p...._�� <br />.......... ... .._ .........---..................---.....--�--.......... <br />(, <br />lik �,.. , ;�.cti._.� <br />Ow n e r ................::............................................................. <br />,. • �. <br />., , <br />Applicant :...........:..:'1.:._c(......L::"' :............... ........... <br />Rough piping inspection _--- . <br />Pipe in excess of 60' _.____ Gas Stoves .__ <br />Gas refrigeretors_ Gas water heaters. '� <br />Gas space heaters to 70,000 D.T.U. input __..__ __ <br />Gas space heaters over 70,000 Q.T.U. input __ _ <br />Gas fumaces to 400,000 B.T.U. input __ ___.. _ <br />Gas fumaces over 400;000 D.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 appiiances---____--_— —_-__-----_- _ <br />i � <br />Call Back Inspection —__ _ Fee Paid $_�__._-___ <br />-------�. ----- — — -- -_..Applicant <br />� l <br />; � . ' <br />By�=1; r:,��..�'�-n^..A.:o---- ------ �— - <br />Plans approved and Permit granted as requested herein. <br />:� ::_•_/:_:,,' !.r��=-- --lnspector <br />. +-., , <br />QY— - - -� — _ _ <br />PERMIT ; -; � `` <br />