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CITY OF EVERETT � <br /> Appiieation and Gas Installation Permit <br /> All Work to be Done in Accordance'wi�h��" <br /> Everett, Washi� ' City Ordinance - -.. <br /> � <br /> � a �,,� � . � . . <br /> .. 7� � . / <br /> gton:.:...:...'�::.`.`�:::.�.1�....., 19�7.'?. <br /> Location...:...... . 7a..� !�"=�,../. <br /> � , . <br /> ........ .... ............. .------...._........... <br /> Owner........ �" � ,/ <br /> f�.. . <br /> . pn,� �%/ � <br /> � + �... .-.(.'. n � <br /> "". .... . ..... '-• '� ...... <br /> i. ,.,., , . j y� ��� <br /> Appl ica nt.. .....i.. . ..... .. ..............�---..:.....................,::.:.'. <br /> Rough piping inspection .-LL�_- <br /> Pipe in excess of. 60° - , ._� Gas Stoves _ <br /> Gas: refrigeretors _____ Gas watec heaters_��( <br /> Gas,space heaters to 70,000 �.T.U. input __!`� <br /> ;�1 <br /> Gas spacc heaters over 70,000 B.T.U. input _ _ <br /> Gas fumaces Yo 400,000 B.T.U, input _ _ <br /> Gas furnaces over 400,000 B1Tu�1,, input _ <br /> Conversion units to 400,000 B.T.U. input — <br /> Conversion units over 4C0,000 B.T.U. input <br /> Small appliances _ .�______.�__ <br /> , ,; _a. _.__.___ _.___ <br /> e� <br /> Call Back'Inspection ___—_ Fee Paid 5_ _ �, <br /> --� -- --- - - - APFilicant <br /> ��u�2i4� -��`�"(--���_�,�,�` . <br /> Plans�approved and�Permit granted as requestedllierein: <br /> —S2_�-<—��' ' "'�'�_=-?--- -Inspecror <br /> QY -- l-'`-""-- --- -- --- - <br /> PERMIT T�° ''�€'5 <br />