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CITY OF EVERETT <br />_Application and Gas Installation P:^rmit <br />All Work to be Done in Accordance �witNi' '' <br />. - City Ordinance <br />.- ., � <br />Everett, Washington..:....�r:e-!�...%:� ............. 19��. <br />OO <br />Location--��---..... 3..--�--� ��---• .. ..............4............`.......,.. <br />` _. _ �r,.r , <br />Owner. ��..� d'^�M�n �..4c�-4�..���... <br />A. .,,..ii.,_ . .. . ' ' r•y--� .. .. .. _ . . <br />pplicant .:......:.... ��=�' }`:--! `+Y '....'.....;.........._..I............ <br />Rough piping inspection _� <br />Pipe in excess of -60' ` Gas Staves _-_.__— <br />Gas refrigerators —___ iGas water heaters.�._ <br />B.T.U. input ��� <br />Gas space heaters to ,0 <br />_ <br />Gas space heaters over 70,000 B.T.U. input __ <br />Gas fumaces to 400,000 B.T.U. input —.__ <br />Gas fumaces over 400,000 B.T.U,. input ___- <br />,•.. , .�. <br />Cornersion units to 400,000 B.T.U. input —_—_ <br />Conversion units over 400,000 B.T.U. input .— _ <br />Small..appliances___ �.�-- - - <br />, �: . � <br />-- i :, , - . — �...J.-�._.�_ <br />�- �D . <br />Call Back�lnspec!ion .-_____._ _ Fee.Paid 5.x7 �,�,_." <br />�,���_ ,�_�__�.___ __�..__ ..Applicant <br />� <br />By� _.��4,-�� '`r_1�s1-��. --'-; ; --- <br />� \ <br />plans�approved and Permit gran�ed�as'rc u�sted;Remin., <br />V, q., <br />\ <br />_ --- Y�) , �-��'2i�'_�.2�IZ--- _Inspector <br />� <br />aY -- -- --��_)i�-� — ._ - - <br />PEAMIT N° 3t�"5 <br />