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CITY OF EVERETT <br />Applicati <br />on and Gas Installstion Permit <br />All Work to be Done in Accordance Iwi4h"=' ' <br />i,_l.Cdy 0rdinance _ _ .. <br />1 �.. • �� <br />� . ` , / <br />Everett,.Washington. + <br />, <br />. � ....... ........19S�I <br />� , . <br />7 � ..,�, .... <br />Lowtion.....� :7.1.. �.......:Ee :::..........� •-. .................... <br />, ,.��.. .._ .. <br />..... -LA.w-. I .i„f.E..-.�.... <br />.._. � �'""' ""'..._. <br />Pner... •- ��-•-•---.._ .... L7......... <br />.. .............. <br />,' . _. . <br />-.�, ,� �; � . i-, �; ��... ... ., <br />Aplica�i.i.:....;.lc'............1`^7........i.,....--� ..................... <br />Rough piping inspection - <br />_ <br />{�ipe in e'cecs;_v�;60'..�—:.F— �G?�Y .4��' J <br />Gas,refrig�rators _- _ tGas,�ater..heaters.�L- <br />Gas space heaters to 70,000 B.T.U. input __, <br />��� ,.. .. <br />Gas spece heaters over 70,000 B.T.U. input — <br />�,_ ,_.__ <br />6a`s fuinaces toe400,000 B.T.U. input — <br />Gas furnaces over 400,�10�1_,B input — <br />,..�.���T.� <br />Conversion units to 400,000 B.T.U.input - <br />Conversion units over 400,000 B.T.U. �nput - <br />Small app�iances— , �� ,. �. <br />--- . ..,,,_ �,�-- u�. . <br />��-; ' _ , .�� <br />Call Backjlnspection __----Fee Paid.$ „,�; <br />r <br />��Applicant <br />�----�'� _d <br />�.�.�'=_� �!=�°e�'a�-�iz,� <br />� 1-� <br />plaN"s�appioved and Perm�t-granted 1s` requested tiere;n: <br />C...i; ,� � ` <br />— ' �� !�.� �r,(-sF+�s �LZ--_Inspector <br />�Y - -- /l_^.�+�5�--_ —. <br />PERMIT N" `���2 <br />