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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AIl Work to be Done in Accordance !wiTh ' <br /> City Ordinance <br /> Everett,.Washington.�.....�....�.....'..., 199.7. <br /> z !1 / <br /> � �'� �C t-�../..................... <br /> , <br /> ........ ..✓....................... .. <br /> _ _ <br /> _ , \�� , , ,�] �{��� <br /> ocation <br /> Owner.... �,h�,t•–t�-Q�'.�. �'c-t.. ��u±:;�....- --..... <br /> .. ,..�� . . .� .� q( /P .-� Z .:�.. �. .. <br /> �.. . . <br /> Applic5nt...,......:-..���.....-�----•.. ..............!.:......:_..........---.. <br /> Rough piping inspection <br /> Pipe in ezcess'of 60.'�: - Gas Stoves <br /> Gas refricerarors '�_ �Gas water heaters �— <br /> Gas space heaters to 70,000 B.T,U. input � <br /> � _ , i'�n _ <br /> Gas space heaters over 70,000 B.T.U. input _ <br /> �. _ , ; , ,�,, _. _ .. .. .._ <br /> G�as fu�naces;to 400,000 B.T:U. input — <br /> Gas furnaces over 4q0,QOp�.��T�� 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 /> ---`---'--t— re <br /> 1, , � "' <br /> Call Back�nspection -_._ Fee Paid $ � ,, <br /> �,. �, �� <br /> _ �.______Applicant <br /> �-�� 2 9 g <br /> a ------- - --- -- - _ _ -- - -- <br /> v;� ---;-- , <br /> Fians`approved andPermit granied as requested heiein. <br /> --�y 'r) <br /> __ _ _ 4r��+� Inspector <br /> av -- -�C-�y�`--.� - — --- <br /> PEAMIT N`.' �;�'73 <br />