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CITY OF EVERETT <br />Applicationcand Gas Installation Permit <br />��'•,�� All WorJc to be�pone in Accordance'�i�h��,�-� <br />_. ..:: �. \,.:. � ..City _ Ordinance E. , <br />� �•, ,f:`, ��C ...\, . <br />Everett, Washinyton._.._..,.�i-� 6 � <br />,,- -•�-��-••--••-� 1.9..__._. <br />' . ....�.i..-..�.::..T ...................... <br />_ � 1ll ��,L���CR.� <br />Owner.. „ .Q�� <br />��-u��i: � (/ _."' <br />rlpplic�nt �.i';. � J.�f.`.... �`.?.--:...:� .:.............. <br />� . <br />Ro;igh piping inspection �_ <br />Pipe in�exc�ss bt fi0��.,_: Gas Stoves - <br />__ <br />Gas rr fri�efarors=_ _ Gds .water. heaters- <br />Gas sn�ce heaters to 70,000 B.T.U. in ut _ <br />I r r• 'Qh•,_ _ _ �),br C P..... ...x.. .. <br />Gas spa,:e healers over 70,000 B.T.U, input ___ <br />�\hc .._.�.r_. .._... . <br />u c- <br />Gas f nac�� to 400,000 B.T.U�, input <br />Gas fumaces�over 400`�P�vgyT`_Uj input <br />17T� <br />Conversion units ta 400,000 B.T.U. input ___ <br />Conversion units over 400,000 B.T.U, input <br />Small� appliances.____�__ <br />------_, <br />; ,,.,� � . _ �, �. <br />Call Backilnspection .. __ Fee.f'aid y <br />����-�� <br />� ' ' � e1 /� 2 / pplicant <br />QY�� �_���- �V-�� �d t� �c� <br />d ' <br />PIaHs'App�oved and Peimit'sranteil a$ requested heTeiri: <br />c�, � • �� <br />- -- ( L -'�'—' --__ -Inspector <br />�'y - --�t->�_ <br />PERMIT N:' 4212 <br />