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C�TY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance With� ' <br />, City Ordinance <br />Everett, Washington:..:.....!:��.... �:1...........� 19�. .5.. <br />Location..........v!.-% 0 g p <br />�-� ................ .. rC4:!:t-.QS..s.................... <br />_. . . . . �--� . . .. . .._.... _ ...._ _ .. . . . . <br />� .y, - � <br />Owner.......... `.,�.r..l..s.:'f�....�_:(k:,ar.!�� .................... <br />,. . :�,,. .;., _ , _ . _ _.. , _ <br />Applicant....---..C:�,-:'�-� -��--- ..........................:................... <br />Rough piping inspection _ <br />Pipe in�excess of 60' ___ __ Gas Stoves _ �/ <br />Gas refrigerators —__ Gas water heaters _ L1.___ <br />Gas space heaters to 70,000 B.T.U. input _ <br />Gas spaw heaters over 70,000 B.T.U. input _ <br />, _ <br />Gas fumace9 to 400,000 B.T.U. input _ <br />Gas furnaces over 400,OOO.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 />�, r c • <br />CaII Back;'Inspection _ Fee f�aid $� <br />t� „ <br />- -- ---_�__�__,.App�liwnt <br />gy. E�c.�.�' l 1 �- ( __�1'�------ -- <br />.-- r- ; _------ - <br />Plans-app�oved and Perrr�it-granted.as requested.4iereih. <br />- --- �i� b•'3`G"��--��'_' L, —. _Inspector <br />BY � `-_'� ��J 1 - --- - <br />PERMIT I�° .� ��?(► <br />0 <br />