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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with <br />City Ordinance , <br />''��" �� -; � ...., 19`:':�L. <br />Everett, Washington .:..........:......................... <br />• , , • <br />Location � � . •`. /'• rt�_a..�_o �- <br />-�-�- --.....-�-------�-•=---.....--•�--•-�•---•� .................. -� <br />; . <br />�.j,� ,.,.,:c.., �,,- <br />Owner ..............:.:......................... ...............�•---....._..... <br />.. i' <br />Applicant � . . � ; , .._, '' <br />........... ......�?..... �.. �......-�---. ..............__.... - <br />Rough piping inspection y�' - <br />Pipe`in excess of 60' --- Gas Stoves _-- ---_- <br />Gas refrigerators Gas water heatea ____ - <br />Gas space heaters to 70,000 B.T.U. input --__.- <br />Gas space heaters over 70,000 B.T.U. input _- __ <br />Gas furnaces to 4U0,000 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 over 400,000 B.T.U. input --___ <br />Smell:appliances--- ----- .- <br />_ ..� <br />7 -- <br />Call Back�lnspection---- Fee Paid $-�-w--- <br />_ _ ______Applicant <br />/ ' .^ - .r . <br />gY . _ -.11 � c.. �:: ---- �-- - <br />Plans approved and Permit gFanted'as reque=_ted herein:. <br />- - '--�t�`.' a:.e_.,_ ��_. - _Inspector <br />BY- -----_-` -�---- — ---- <br />PERMIT � 1 �' <br />