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CITY OF EVERETT <br /> Ap�lication and Gas Installation Permit � <br /> All Work to be Done in Accordancelwi�h��' ' <br /> City- Ordinance - - <br /> �; � _ . � ,.:' C". <br /> _ , .r� : 'r , ; / <br /> Everett, Washington:.::...:..�.! .'�..�.3......., 19 t?.� <br /> .�..... <br /> Location........����..l.....5.�!.4-:�.......................... <br /> __ .__ :.yj7::�,;z�_ _ _ . ._ <br /> oW�e�............. <br /> � .,�;��,z . _ ._Ts ...r.�;��---�................:......................... <br /> , y�. <br /> Appl icanN,.:...... -.:E-...�.�...Y.`.�:...!..................... <br /> Rough piping inspection <br /> Pipe in exce4s a�f�0�_„= -' Gas Sroves _ �( <br /> Gas,,refrigerators � _ iGas water..heaters..G� <br /> Gas space heaters to 70,000 B.T_U. input — <br /> _ _ . _ _. __ _ <br /> � :, !3/v'� .. _... <br /> Gas space heaters over 70,000 B.T.U. input <br /> Ges furnaces to 400,000 B.T.U. input <br /> Gas fumaces over 4p_O,Op�Q�B,�,�U� input _ <br /> Conversion units to 400,000 B.T.U. input _ <br /> Conversion units over 400,000 B.T.U. input <br /> Small��ppliances_ ----� �, <br /> -- �;,-'-mi---""'--"----"' --------�cF^- <br /> Call Back�lnspection ..��__._._ Fee Faid.$�_n_..,,C,. : <br /> ��y,r --•.�.�.- App�licant <br /> Bx i 1—�JCr�� _� ��Z J_.__�I i; <br /> Plahs���iarcJed and Permit g�arSt�d-a� rgquested Re�eiri. <br /> ------�����{2::":'.---Inspecror <br /> BY -f �-fJ�— — <br /> PERMIT P?,� 4 "'-� <br />