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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> ' .�+� t•� , <br /> All Work to be Done in Accordanceilvith'�'"` <br /> City Ordinance - <br /> � � <br /> , • <br /> / ' <br /> Everett Washington.:::..:..:......::..:...�:��.........,-19.� <br /> Location..........'.7�..��..'�.�.....��................... <br /> _ __ n_... /' _ __ __..... <br /> Owner......-•----��2�cK� , . �![-r--R�:P.y`-.......... <br /> �---•-••--- .,.,�---......--- <br /> ,�1 �,r r: <br /> APPlicant...... � `�`.`f`"�'�,'�.. ' �..:.. ............. <br /> Rough piping inspection <br /> Pipe in ezcess'of 60° _ _ Gas Stoves _--_— <br /> Gas refrigeretors ,G,as water heaters._� <br /> Gas space heaters to 70,000 B.T.U. input � <br /> � ` _ <br /> Gas space heaters over 70,000 B.T.U. input _. <br /> Gas furnaces to 400,000 B.T.U. input — <br /> Gas fumaces over 4.00,000\B�T�,U. input <br /> Conversion units to 400,000 B.T.U. input _ <br /> Conversion units over 400,000 B.T.U. input <br /> Small appliances�a..__ �'� - <br /> , � ,. _�--- "`" c, <br /> l�a� <br /> � ��._��..__� <br /> ---- • . � rII ..- <br /> Call Back Inspection ___�_ Fee Paid $__ / �ti'r—',...., ',',_...;. <br /> . .__ .----- --------_.__._...W—.�__Applicant <br /> BY....,,..,.� E'�Zi c/ `'�._//.a.. '�J• <br /> Plans app�oved and Permit grznted as requested :lie�ein: <br /> �j i <br /> 0 <br /> - '5,��'..—�� 1 �"�""i� Jnspector <br /> QY---����`_ � — <br /> PERMIT �,T� ?;: `;� <br />