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CITY OF EVEREIT <br /> Application and Gas Installation Permit <br /> AIl Work to be Done in Accordance wftk' <br /> City Ordinance � <br /> �• , ", <br /> Everett, 1'Jashington...........0l..1�'.G.t.....��.f......., 19..�t.'a <br /> Lo c a t i o n.......�a.�S.L.�.../...(.Q'.Y..��s............................. <br /> _. . ._ _ /� /_ _ _ . _ _ <br /> Owner........L(!/..�`..'.o".f.:. .�................ .. <br /> Applicant,....... �CY...................................., <br /> � `1 <br /> Rough piping inspection <br /> Pipe in excess of 60'��-- Cas Stoves _ — <br /> Gas,refrigerators _�__� �Gas water heaters. <br /> Gas space heater to 70,000 B.T.U. input _ <br /> Gas space heatzrs over 70,000 B.T.U. input <br /> ,. ,.. , <br /> Gas furnaces,Yo 400,000 B.T:U. �input _ <br /> Gas fumaces� over 490�OQ0.rB,T,I�. input _- ___- <br /> Conversion units to 400,000 B.T.U. input � - <br /> Conversion units over 400,000 B.T.U. input _ <br /> -.. Sma'I;appliances._� <br /> .i . .. .S �. . ♦ \' <br /> `��R W <br /> � .. � /� � <br /> Call Back,lnspection ... _ IFee-Paid $_,L__.:� <br /> :. „ ,. <br /> t�' - <br /> __._._._._Applicant <br /> �p � � q O <br /> 6y�i1–f�"tr"L:! -. _S_..._._e�[__.._.—__ .___r-----.-- <br /> Pla'n4�pp�oved ai�d Permit grentec� as requested herein. <br /> � ' (Xy <br /> _ ___ '�'• Inspector <br /> _ �:�.L`�:.---- <br /> — ���, <br /> �y _ 'I�U� - ----- _ <br /> PERMIT 1`::' ��69 <br />