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CITY OF EVERETT <br />Appl9cation and Gas Installation Permit <br />AIl Work ro be Done in Accordance with <br />City.Ordinance. <br />. -����. �-�. � � <br />Everett, W1ashington-�- -�' .... .................'-'-----.'.., 19 .'�--. <br />���......:�.. � . . . ... <br />\ _ _ __ _ <br />Location... .-'--......._ ............... _ <br />(� , � �.� <br />Qwne r.....1r.(J�'.+tA'� -.'�:� :..!-+'Q, .. / .,t t }.c i....... �. � ....... <br />, . �' <br />, G`.h.�� _� ' �� �' ........ <br />Applicant.;.�_.�..'� ........................�C: � ":,.•::.......:..•G+ . <br />Rough piping inspection ' — <br />Pipe in excess ot 60', __ _ Gas Stoves __- -.---- <br />Gas refriperators _.— __-- �Gas water heaters _____�— <br />Gas spacc heaters to 70,000 B.T.U. input _�- <br />C;as space heaters over 70,000 B.T.U. input .� - <br />Gas fumaces to 400,000 B.T.U. input _ <br />Gas furnaces over 4p0,000.,B T.U. input __ <br />Ccnvcrsion units to 400,000 B.T.U. input -- <br />Conversion units ovcr 400,000 B.T.U. input --- - <br />��.�- �-�-� -- <br />Small appliances ,. <br />— -----�� ^ 'S� <br />Call Back�lnsp�ection - -- ----.- Fee Paid $�-- <br />^�� � y{� ' __Applicant <br />z- ...' � <br />_' _ __'_ ___�._ __'_'_' <br />QY,. .^ I_'_ �__-___'__'___ . <br />P�aiis�appr ved and Permit grented as requested hcrein. <br />��q , -, ��� -�• _, . Jnspecto� <br />_ . �'.4'�-'-�•-.- -'--"-- <br />py _ _- -- - <br />PERh!IT `�:: ��`�'7'� <br />