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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Wo�k to be Done in Atcordance �wi�lr <br />City Ordinance _ <br />Everett, Washington.::.,l.;f.t:�''�`�,,..� .................. 19.ii.i. <br />.-•, { ,, . <br />, <br />Owner_.......... ...., . 5........., ..... ...........-................ <br />, ,.__. ; . , , iy����:, _ . :. <br />Appl icant � ....:........... Y.......... ........:......... .......... <br />� <br />Rough piping inspeciicn __.__ <br />Pipe in excess.oF 60' —__:_� Gas Stoves _ <br />Gas refrigerators --_ Gas water heaters.._�_ <br />Gas space heaters to.70,000 B.T.U. input _ <br />Gas space heaters over 70,000 B.T.U. input <br />Gas furnaces to 400,000 B.T.U. input <br />Gas furnaces over 4U0,000 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 />$mall appliances__—�___� ______`_.�_ <br />Call Back;lnspection ____�_ Pee Paid y�_ �.W �,., <br />�,,, — _ <br />.Applicant <br />'�— �.t�+�.�i i . <br />Sy � � - --�la.v� � ..�._.�.._`..�� <br />Plans a'pproved and Pe�mlt granted as requested'h�rein. <br />'��^ <'� <br />- --- '_:'_`_+•� �Ja-LL. ')___. _Inspector <br />- }���.�- <br />°v -- - - <br />PERMIT *I:` '?�' ��; <br />