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CITY OP EVERETT <br />Appiication and Gas Installatiun Permit <br />All Work to be Dcne in Accordance iwi4h' ' <br />_ . City Urdinance - <br />E ,, .7 <br />{ .. <br />� . �R-c.� / ........... 19_- --- <br />Everett, Washington---•--.--•••• ................. , <br />' � . p <br />Location.....�.�..:s- /.......:�1<4!�!.^.-sK� ..................•�---� <br />, / _ . . __._... <br />Owner......----��r.1..1.�--.....�1._ ,- � <br />........ . <br />Z�'-• ..................... <br />i �; . _ _.. � <br />Applic�nt .........:.:.:.:7 �.f.: �,...................................._.... <br />Rough piping inspection !L — . <br />Pipe in excess of 60' _— -.-- Gas Stoves -- <br />Gas refrigerators ____--- �Gas water heateis._— <br />Gas space heaters to 70,000 B.T.U. input -- <br />Gas space heaters over 70,000 B.T.U. input --.--- <br />Ges furnaces l0 400,000 B.T.U. input - <br />Gas furnaces over 400,000 B.T.U. input <br />Ccnversion units to 100,000 D.T.U. input X <br />Conversion units over 400,000 B.T.U.input ---_ <br />Small appliances______ __-- <br />. _ . . -...-�--- d-0 , .. .. <br />Call Back Inspection .---__-- Fee Paid.S � , <br />__Applicant <br />� .; <br />�y---- C'. �< <� -� 3�� -- <br />� �. � .. <br />F'lans approved and Peimit granted as requested herein. <br />i' . <br />�,� tr -� Inspector <br />---- _ -. , ,� - --- <br />Q - !--�� C-� - -- --- - <br />Y <br />PERI�IT N:' �`#;;� <br />