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CITY OF EVERETT <br />Application and Gas Insfallation Permit <br />All Work to be Done in Accordance!wi�h`�" <br />- ...... . . Gity -0rdinance- - <br />__ <br />, <br />Everett; Washington:.-:.-.� �:�: �,::.: *�� . , 19........ <br />� `y <br />�u�z r� • . <br />.... <br />Locati on ............................. 6.u.�a�.�.--�--........... _...-----..... <br />...._.... .. . �. _ ..../.i_. _?_....__. .. _ .. .._.. <br />�ol/a.Q..�t.Rr <br />Owner................ ............. �!' J.......-----�--................... ........ <br />ini�stY.�....',_.4. �. 4 ' .. . _ .... <br />_ _. <br />... <br />PPlicanL..:....;�- --...-:, - � .................:........................••---... <br />Rough piping inspection X — . <br />Pipe'in excess of Q0' " Gas Stoves <br />Gas,-re�rigeratorc � , Gas waten heaters.v.-- <br />Gas space heaters to 70,000 B.T.U. input __ x <br />_.r <br />: nD'v �i.� . .._ .... . _ _. _. i i.:�G ( . _. <br />Gas space heaters over 70,000 B.T.U. input _--_ <br />�),bc b._. _.... _ __ );_,; a.. _ <br />as furnaces to.400,000 B.f.U. input <br />Gas furnaces over 40��,0�O.�1T.�U. input <br />Conversion units to 400,000 B.T.U, input _ <br />Conversion units over 400,OQ0 B.T.U. input ___ <br />Smal I,,�ppl <br />---j--S ,—"t-r� —_�._...� ��c._r. <br />,� <br />Call Backilnsp�ctiol,� � _-Fee.Faid S�r__,,.,�. <br />� �"- ` A licant <br />.,��� �.�._ � � _.._ ___. _�� _._ R� <br />aas <br />B�i�.�l"`�.`_.��.___.�� _.�.._:�.i; <br />Plai�'s`ap'proJed nd PG�mil granted es requesfedJFitiiein: <br />--- ��Zb:�=' 'i-C�IISD Inspe:tor <br />BY-- ---- -- -- <br />PERMIT I�Y 3t��4,`1 <br />