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CITY OF EVERETT <br /> Applieation and Gas Installation Permit <br /> All Work to be Done in Accordance"wit14` ' ' <br /> - Gity Ordinance <br /> J� y .•y� <br /> Everett; Washington::::,:::.{.�!.<.t:v:....:.,!::1......, 19�'...... <br /> �ocation....�3 �-� • <br /> oi <br /> . .........................................................•-� � <br /> _ _ . . <br /> .. _ . <br /> �-� ,c� R.�-�- .. <br /> Owner...... ....................................�-- <br /> .... ...... .. <br /> �� i :..,' i � _ _ <br /> . C� ' <br /> APPlicant..-' -=-�� ..'...... ..... ......... <br /> � <br /> c <br /> Rough piping inspection '� <br /> Pipe in ezcess of 60' �` _�- Gas Stoves ___ ___ <br /> Gas„refri�eretors ,Gas water heaters.�_ <br /> Gds„space heaters to 70,000 B.T.U. input �__ <br /> 1.` . i:A1. ._. . . _ �, b .. <br /> C,as space heaters over 70,000 B.T.U. input _ <br /> , >�;,., , __ �� . �, <br /> Gas fumaces to 400,000 B.f.U. input <br /> Gas furnaces over 4AQ,Op�O-�B;�'vU� input — <br /> �•.. . � - <br /> Conversion units to 400,000 B.T.U. input <br /> Conversion units over 400,000 B.T.U. input <br /> Sm�ll�,appliances_. � <br /> � � , o <br /> -..--��-.T� ..��.—_�.__---..___��-'.-7 CT.t.�_ <br /> / / <br /> Call Back�ln,spection �_____,_._.,. Fee Paid.$_.���„__.... <br /> � <br /> �..,,�i. ,� �� • �.__�_'__..___�..Applicant <br /> Brtt��'��� �._..._,-,;--�---- <br /> Plans��p`�roJed and Permit c�ranted as iequcsted 'heieifi: <br /> �-:� <br /> -- --- '���-���':'S:� _ _ _Inspector <br /> QY - - - - ---— - -- <br /> PERMIT '�;" '��•�1;; <br />