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CITY OF EVERETT <br />Applieation and Gas Insfallafion Parmit <br />AIl Work to be Done in AccordancelWith' <br />City Ordinance <br />4 �1 (� / <br />Everett; Washington...:...�K:1�`.-.'.::,.1 ......:.......... .19.�.�, b., <br />Location........�.�1..� 5...._�R�:n.xrt.l.t�..---.. <br />f �" ,�ry ) •------ <br />Owner .... fiY'• _._ S?'E,y�-au <br />/ -'---._.. <br />_' � _) <br />�r '-�/.� - <br />r . <br />Applicent ... 44'aP..?�'}`---��.:...�i'.:�,C�-'t..- <br />................. <br />t Rough piping inspection <br />Pipe'in excess of 60' ' _ Gas Stoves __�/__ <br />Gas_,refrigerators Gas water heaters. /� <br />Gas_space,heaters to 70,000 B.T.U. input <br />,,., �,� � _ _ <br />�..�.:; ,_ __... <br />Gas space heaters over 70,000 6.7'.U. input <br />�as fumaces to 400,000 B.T.U. input <br />Gas furnaces over 400,000,B;7.U. input <br />_. .. ::�. <br />Conversion units to 400,000 B.T,U. input _ <br />Conversion units over 400,000 B.T.U. input ____ <br />$m�l I�.�pPl <br />a <br />�.,._ :, <br />Call Back^Inspection .__ _ Fee Paid $ � '� <br />: �._ �_ <br />�.,.�� /� � ANPlicant <br />G�/t�-n+FI � /�Sy � � <br />BYr�-"',-, , --- <br />i is""'_ <br />plan5`ap'�rooed and Permit granted as requested �Fierein. <br />----�+�` ^� , _`--�.:_` _Inspettor <br />) <br />By--- _---�—za`. -- ---- ----- <br />PERMIT ��:" ;, W F ; <br />� <br />