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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance �4iiEIS' �" <br />� _ i City Ordinance - - -- _._ <br />�,; , , <br />. � ,. . � <br />Everett, Weshington.:.::.::.�:?-:U::.:� .............19.�.f. <br />. / / �} <br />Location..... .�.��..-�°'D- ���-g�----•'Z..�a..�..A.../�.... :?:�4sr:!C. <br />-�. , ,., ,. .. <br />Own �j� e: -; ... ... <br />`: , 'j�»K C'a�2.a.�� 1 <br />er........... ^.C.kc'?;±',r ........ ...:.:.. ................................ <br />�,..i���.,,��,, ., ;.' „•... . , -. . - _ .. <br />Appl ica�t_.......!�:r.:w::t1:.}...3a{i i...'::.1_��-�.'4r.......... <br />Rough piping inspection __ <br />p ' � ` _ Gas Stoves <br />Fi e in ext�ss of 60% __ _ <br />�Gas ,refrigerarors — , Gas water heaters... <br />Gas_sPace heaters to.70,000 R.T.U. input _��_ <br />.. _. <br />Gas space heaters over 70,000 B.T.U. input <br />�.. <br />Gas fumaces to �00,000 B.T.U. �i�put ___ <br />Gas fumaces over 400,Op0,64r�U. input _ <br />Conversion units to 400,000 Fs.T.U. input __. <br />Conversion units over d.G0,00C �.T.U. input <br />Smal I.,appliances--_— ._.__ . .._._ _, � ___�..r__ <br />- ---�—., .. _ ---------�`-�—�-,-�r- <br />� �h0 <br />Call Back'Insqection _.___—_ Fee.Paid.$_�_.�:,._,,1.. <br />� �.: <br />._„�i=-- `-- ��.�_�.,.y.y..4�Applitant <br />��:� ! `i c.. c �" �j �- <br />6yi?-�"-`- -- —,- - �.____1.e'-�._. _ _ � __.. _ <br />hl� 5�6bproved and Pe�mit granhed a5 requested'kerein: <br />. ____ �1' `� � '�;?1�1?_.-----InspecTar <br />Q>� - — -- - � � , � } --- --- <br />PERMIT `�,'" ' � <br />