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CITY OF EVERE?T <br /> ,Application and Gas Installation Permit <br /> All Work to be Done in A.ccordance with <br /> City Ordinance ' <br /> � _ � -� - � y� <br /> Everett, Washington............ ..:....................:...... 19........ <br /> Location ...."l.G..� )' �"f, �'t- <br /> .,.....----._---------------•--................---........ <br /> Owner........!�..�.�-ca. ��,t,'•_�.�.�... <br /> �. ...................:.............................�--�--........ <br /> Applicant ...�'" ........d ��l <br /> Rough piping inspection--�__ <br /> Pipe in excess of 60' __—__ _ Gas Stoves _ _ _ .-___ <br /> Gas refciyeretors—__._ Gas water heaters.____ <br /> Gas space heaters to 70,000 B.T.U. input '� <br /> Gas space heaters over 70,000 B.T.U. input __ _ __ <br /> Gas fumaces to 400,000 B.T.U. input _______ ._ <br /> Gas fumaces over 400,OQO 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—__ <br /> �� ` <br /> Call Back lnspection _ Fee Paid �! <br /> �----- <br /> , t, . <br /> �_l. � , ` ----�PPlicant <br /> gY C.I,u�.��'L � 3 6 r9.� � . — ---- <br /> Plans approved and Permit grented as requested lierein. <br /> � <br /> ^�9G4 � . <br /> - - ---�— --�-- ` --Inspector <br /> BY - ---- <br /> PERMIT _ ' ° 4 <br />