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CITY OF EVERETT <br /> Application and Gas Installation Permit , <br /> All Work To be Done in Accordance :wfth`=' ' <br /> � City Ordinance <br /> Everett, Washin I ' <br /> ' • � a- <br /> t. 'I � 1 Cr ' <br /> ;. <br /> 9cu�.:::::::.1�:,�.....�:.::.`......,.a 9.��.� <br /> Locatio��n-- �s`.3 �.... . , . <br /> .. .. ----.....--�--� <br /> �� .�}- _.. . <br /> `, � + _ . : , + _ <br /> O�ner .... . .. ..�. ,t1�trC� ................. <br /> Applicant...... ....1.��.� .'..�,,.'...... �•.................... .�---....... <br /> Rough piping inspection _____ <br /> P_ipe'in ezcess of.60"____._ GasStoves - -- <br /> Gas ;reffigerators-- __ Gas water heaters...X <br /> Gas sP,,:.,. . .. . � _ . input ... x <br /> acc heaters to 70,000 B.T.0 <br /> Gas space heaters over 70,000 B.T.U. input <br /> Gas furnaces to;400,000 B.T.U, input <br /> _ - � <br /> Gas furnaces over 4p0�00�-.,�.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_ _,� <br /> , , . Ov'. ,.. <br /> Call Back;lnspection Fee Paid 5.-a�._:,.�,�_ <br /> T------ (1 _A9 olicant <br /> By...�...._ �-t���Dy ��/ <br /> , _r—.- - r-�—"!—_�--�, . <br /> plaris`apj3roved and Permif granted as requesFed lierein: <br /> -�'-����'' �-=��'_ _. _Inspector <br /> aY - _ _— -- �'n' .�:s <br /> PERMIT I�° :i�:� ,5 <br />