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CITY OF EVERETT <br />APplication and Gas Installation Permit <br />qll Work to be Done in Accordance I�vith <br />Cih�� Ordinance <br />� <br />Evemtt, Washington ............ :�-x./ � �3 � % <br />. . . ............. l 9........ <br />. ... .... .. <br />Location.........�. �.....��..�!......./.e�'.'.�.4. .+..Q ................... <br />_.... _ <br />Owner ................ --�.^-Kt........i.i1. <br />'j �,�/1-.. -'•---� <br />_........ .... ... <br />--......., <br />�.pp� ic�ant�...:.:... . �-.%...'.SI...--.'"r2--... �� <br />........- - <br />Rough piping inspection �/\ _ <br />�'�pe in excess of 60' _______ Gas Stoves ___ <br />Gas refrigerators ..._ ______ Gas water heaters __� _ <br />Gas space heatcrs to 70,000 B.T.U. input ___x <br />Gas space heaters over 70,000 D.T.U. input <br />Cas futnaces to 400,000 E3.T.U. input <br />Gas furnaces over 400,OOO.B.T.U. input <br />Conversion unifs to 400,000 B.i.U. input <br />Conversion units ovcr 400,U00 B.T.U. inpu' ____ <br />Small appliances.._._..�_____ _�` � <br />� � <br />Call Bad; Inspection ___.�W Fee Paid $%� <br />- . _.`�`" : ApPlicanl <br />D + <br />av.. _ . .�. �..�� . `'"'_ .� ,3� _ __.�.y�.. <br />�'lans approved and Permit granied as rcquested herein. <br />� �- : ,. � t�-,, <br />�``���-��' -----Inspector <br />✓ <br />�)� _ U�- <br />PERMIT N? 4336 <br />