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CITY OF EVERETT <br />, A�plication and Gas Installafion Permit <br />All Work to be Done in Accordance�Wi�K"'` <br />- .. - --� City Ordinance -- <br />Everett; Washington:..:..::-:.!::(•�!'---.�.�'......,.19.�`.s.. <br />, , <br />Location........� G. � �...-------��:�'. --�� ....................... <br />_ _. .. _ <br />_. . _ . <br />Owner.....---�....... �-�-4�..w,. <br />� --�---�� .......... ........................ <br />+ � � w-�y;r.;._..... _ _ `, .._..; <br />4pplicant'....:, .: :..--�---.........!..---...._..L.....--�� ...................... <br />� <br />Rough piping inspection �— <br />Pipe�in ezcess�,of 60' • - Gas Stoves _- <br />Gas_,refrigerarois — _Gas water heaters._.� <br />Gas space heaters to 70,000 B.T.U. input - _�-- <br />� .,�;c �.�q� . _ � �,,.�ur. r . <br />Gas space heaters over 70,000 B.T.U. input <br />i 1,;,,,, V . . __.__ . : �,, �,.. . _... .__..... <br />Cas fumaces to 400,000 B.f U. input <br />Gas furnaces over 4��n,QP�Q.46jTn�1, input <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />Srrtall;;appliances_ �_---.--- <br />- i -n---- yv�..._ <br />Call Backlln; ection-.�-____..-Fee Paid-S-�..--r---,...;r <br />lA, N � A9plicant <br />.,,.�i.. � <br />(��''p, ,�Oj� <br />Bxtt�t3'": ` �" �.W _�,-,�_�... <br />pl3hs'��droved and Pe�mit granted:as reque3ted'lierein. <br />1 `;��,�?S'�:!_—_Inspector <br />BY- -- --- --- - <br />PERMIT P��`:' 3E;� 1 <br />