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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance�l4ifh ' <br />- City_Ordinance <br />Everett; Washington...:::.L�.:.id�n�::.:7..........., lAi.k:. <br />Location........:.1L.l.�T:..! .r......,l�L.2-wr.5:.�-------------- <br />. . ._. _ . . _. ..... .. . <br />__. _....__ . <br />n� <br />Ownur.. � -x.�c-� �,C('if!-r.<..t ..................... <br />............ .�-��- --....._...... .... .. ... <br />� -, . ` /% �j% _ .. . <br />Applicant.....:...,.'G.ti..�.�.._Y 1 ...........:........... .�....-•-------....... <br />Rough piping inspection _L — <br />pip� in excess of 60' _—_ Gas Stoves x <br />Gas,re�rigerators _-- --- . Gas water heaters. !�� <br />Gas space heaters to 70,000 B.T.U. input �—_ <br />� � ,,, �/.� � � <br />____. .. <br />Gas space heaters over 70,000 B.T.U. input — --- <br />• _ . _. <br />�as fumaces to 400,000 B.T.U. input — <br />Gas furnaces over 400,OPO��.T.U,. input — <br />Conversion units to 400,000 B.T.U. input —. <br />Conversion units ovcr 400,000 B.T.U. input <br />Small appliances� �.r..�—.---..-.--- � ,. <br />- -----`-'� — � _�.____"�,� <br />Call Back'Inspedion ______ . _ Fee Paid$ �� � �_ <br />. , �' <br />- - —._ -._ --- ___ .._ W� ARplicant <br />BY�t�. �J-s.-`-c%� .�i.G_f � --. —ro <br />plan`5`approved and permit granted as requestedllie�ein: <br />� <br />— --_—� _�`_ - - — -Inspector <br />. <br />py _. _ �'%�'`-- ` <br />PERMII '.`: ".' ., ` ' ` <br />