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r' <br />CITY OF EVERETT � 'i <br />Applieafion and Gas Installation Permit <br />All Work to be Done in Accordance'with'"' <br />City Ordinance - _ _ <br />Everett, Was � � . �' <br />i <br />r � . <br />h�ng��.:::::...�� ......�......:�.3::::....,. �9� f � <br />Location.....,--a�.4?.�..7.....tY:"f.:4:'kt�s.�:�.....�-� --��-� <br />_ _ _. <br />Owner... � ���. � y%1,/� r <br />. �''`� <br />PP ,. . � <br />................. <br />A licant -���?+�'xZ_---..L.�,_a... . .................. .. <br />7 <br />" Rough piping insp,ection <br />Pipa in excPss,of b0':�'�____ Gas Stoves ___ <br />Ges refriyerators _ __,Gas water heaters. X <br />Gas;space heaters to 70,000 B.T.U. input X _ <br />; F:1 , . ,- _ _...__. <br />Gas space heaters over 70,000 B.T.U. input <br />, , _. <br />. <br />Gas fumacd's to 400,000 B.T.U. input <br />Gas furnaces over 400;000 B�T U; input _ <br />Conversion units_to 400,000 B.T.U. input _ <br />Conversion units'ovei 4p0,000 B.T.U. input <br />Srnal�_appliances -. ' _. . _ � . <br />��, ��, <br />_ . .. ._._. <br />� . . _ _,�� „�m- <br />Call Backllnspection ,___.Fee Paid $ <br />2— <br />- �,-.r.n�- <br />�..�,t _ -- ----- --- APPlicant <br />�i � _�i i,: <br />BY--�sc+ `-"'��-,-- - --- -- <br />__ , <br />-"--Y � "� <br />Plaris`approved and PermiP. granted �s requesfed h��ein. <br />• •''`�-�� __Inspectcr <br />BY -- - _ _ - - _U� 7n. <br />PERMIT I�1�' `' ��� <br />