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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance !vbPfFi `' ` <br />\ ..... City Ordinance ; . - <br />-1 �rrf� � ``�'� \ �� <br />Everett Washington...... ,.. . � � .•:; 1�•:� <br />�e . <br />,.:(:,__ j��,�;�i . . ... �}��i . <br />. <br />..Fo�i.n,.... �....:....... <br />( . ,.)l;�r('"' F ,i ; �: .. 1...� � 1_ f- �. <br />{ ':' r t � C"' � � f <br />� pW�ner. � � ��L • <br />i <br />I u.:at z i/�.S(:r � .1 •-' '� : .. . . _ . <br />Applica�nt�i...s,...:t '....J`�.� .. ........ . ................................. <br />Rough piping inspection —� <br />Pipe in exce¢s�D�60' �4�,��,'�as Stoves���� <br />Gas.refrjgerators ��'� � �Gas water heaters.... .'.` <br />�.. . . . <br />Gas space heaters to 70,000 B;T.U. input _ <br />C,�'�_ _.. �, , .- �- <br />_ _ <br />Gas space heaters ever 70,000 B.T.U. input _—_ <br />_ . _..._.__... <br />.b� �__.. . . i. ,.. . <br />Gas fuFnaces SQ 400;Q00 B.T.�. input _ <br />Gas fumaces over 400,OOQ. B,T.u,, input <br />Conversion uniis to 400,000 B.T.U. input <br />Conversion units over 40 ,000 B.T.U. input <br />Small;appliances_._ "'�� .-.-•-- <br />_ , i ��ci: � <br />_ __.�—. <br />,�..,.,., — <br />L_pi � �� <br />Call Back lnspection __ EeePaid $ ,,,,,.i, <br />1� <br />t� . . <br />App�icant <br />BY:+fi�-g"" ,. - -- --- —.� _ _._—_�.�- = t-� - <br />1...... <br />PIanS'approved and Permrt-granted,.as requcsteu h2�ein. <br />-_— ��� <br />i._:�'__ .,L,�54"�-�- 2{•_--lnspector <br />av f� �' �'`-�— �— -- --- <br />PERMIT N� �3i12 <br />