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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance�Witli"'" <br />, . City Ordinance <br />� <br />, � ' �O <br />Everett; Washington'" .! 1:.� . � � �. , 1�.... <br />� �.. <br />Location.....----�. �. �.�.......�:`.:'".`.,.....�'�"!;-� <br />_.. _. . _........ �� <br />y _.. <br />= ti � < <br />4 ��c..........�:�...:�l.-a- .............{c�.rn:e-w----.. <br />� /� <br />wner ; ;,, ,. . �,/ � __. _ ( _ . .,.r. _ __ . <br />. pp ant....._.. �- F.�T..r,� ..�r'.� ..:.....:.....�....._.................. <br />Rough piping inspection � <br />Pipe in exccss of 60' __._�__ Gas Stoves —__ <br />Gas retrigerators ._—__—_ , Gas wafer heaters _ � <br />Gas space hcaters to 70,000 B.T.U, input �_ <br />, ,, � <br />_ ...._ <br />Gas space hea;ers over 70,000 B.T.U. input —__ <br />. . _ ... .. <br />Gas furnaces 10 400,000 B.T.U. input <br />Gas furnaces over 400,000 .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 />Small appliances_ ______�._.��� <br />- _ — . --- --- � <br />Call Backilnspection —. ___ _. Fee Paid 5 t..7v,q <br />r, � <br />f'•--;--- -------- —�—._ApRlicanl <br />'- <br />gy,,�"'� �a�`--� � � � y .�-1 _` _ <br />— „ <br />Plans'approved'aiid PerAiit granted as'requestedJlietein: <br />-- --�^����$y;F,.�c � -- �� - - -Inspector <br />ay, _,1c-h._._ __------ <br />PERMIT TM;" t ��, <br />