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CITY OF EVERETT <br />�;<,Application and Gas Installation Permit <br />All bVork to be Done in Accordance with <br />Ciry Ordinance <br />� - i ? . :� <br />Everett, Washington .............. �..................:......, 19�'..�... <br />_ 1 <br />.., Y � . . � A' <br />� '. � ; <br />Location '' '' ' . . <br />................................ . .cn �.. ............................ <br />,� ^ i •( <br />. r ��LL/��_t�:. i_.F '� <br />Owner.---•--.-�'- .. <br />� --�• ..................-----..................................._.. <br />Applicant '�- � Yl <br />-• .. ........................................................... - - <br />Rough piping inspection __�-_-. <br />Pipe in excess of 60' __ -_._ Gas Stoves . _ <br />Gas ref rigerators _ _ Gas water heaters _. __ <br />Gas:epace heaters to 70,000 B.T.U. input ____�. .._ <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 E.T,U: input <br />Conversion units to 400,000 B.T.U. input ___- <br />Conversion Units over 400,C00 B.T.U. input _ <br />Small appliances— --__.__ . __ <br />Call Back lnspectien Fee Paid �__ `�: �___. <br />_.— l' 7"1 <br />l '� -J�PPlicant <br />- — �{-(—/-Q -- .. <br />�'"�!..lt�:. �.. ✓.G�. �J� -� _.. <br />BY—___ —__ __—"_ . <br />Plans approved a�d Permit grented as requested herein. <br />. /S`Y�� D� h� <br />- -----L,Jt.l„/'�Mxy-.--�--Inspector <br />6Y- - - ------- --- ---- -- - - <br />PERMIT � -`- � � <br />