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CITY OF EVERETT <br />Application and Gas Instalfation Permit <br />All Work to be Done in Accordance'.with <br />_ City Ordinance _ __ _ <br />,, � ; � - , -'• <br />(}ie,� � � - ' � <br />Everett, Washingtun...._ ...............••---[•---.........., 15� -- <br />Location.....�..7.�.� .!`�"'!w.-�„ ........ ......... <br />/� `j _ _ <br />Owne r.......:!�1.C�:.. :!41.`.�!:.:.....�.�G'Cc' .:.............-•--------..... <br />(�� `� i �/�,� �i,y�,��/� i <br />Applican�4.�T�"k!IT�:�.1....11.�"'*::....V....�/� ---'� - <br />� <br />Rough piping inspection --- <br />Pipe in Axcess of 60' , ' Gas Stoves -- — <br />Gas refrigeretors __ _- Gas water heaters �— <br />i - <br />Gas space heaters to 70,000 B.T.U. input -- <br />Cas space heaters over 70,000 B.T.U. input — ___- <br />Gas iumaces to 400,000 B.T:U. �nput -- <br />Cas fumaces over 400Qpp B.T.U. input ___ <br />�� t.:. , <br />Cenversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input _ <br />Small i pliance�� �G-,I'--�`lr,SEG—f}-- <br />J ��� �%]T�,�4_� <br />� M. <br />V _ <br />Call� gack.lnspection _ _.—_ Fee Paid 5�.^�-- <br />�Q'...�li'Dr ifv'f �/�Y�����J�oolicant <br />� <br />Plans'ap(iioved and Pofm�t gfanJed as r qu s'3ed herein. <br />� � <br />l-���f Inspector <br />_ -- -s°3�����':��--- <br />�>- - ��' - - <br />PERMIT 1�?" 4842 <br />