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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with <br />C�y Ordinance <br />Everett, Washington .............[.J.!?-.f.I....� �!�'....., 19,.�..` <br />6 �. i 2 8�.�..... <br />Location......... ................................... ................ <br />._ (� _ _._�% <br />Owner ........ ..... .. .. . ........:' -�--. �/wV.':NL.�......... <br />,, ,..,,. . ..r).� f� -' C�....'..... _ , _ , <br />Applicant ..:........:..........�%..... �............................ <br />Rough piping inspection � — _ <br />Pipcf'in excess of ,60' __—_ Gas Stoves _ <br />Gas refrigeretors ___�._._ �Gas water heaters <br />Gas space heaters to 70,000 B.T.U. input _ <br />Gas space heaters over 70,OOU B.T.U, input —� — <br />Gas fuYnaces to 400,000 E3.T.U. input �--_ . <br />Gas fumaces over 400,00O..,B.T.I;. in��ut _ <br />Conversion units to 400,000 B.T.U. inp�t <br />Conversion units ovcr 400,000 B.T.U. input,-- —_ <br />Small appliances.______.__�_�. _---__---- <br />- ---------.-r- ���_.__..,,._.;. <br />Call Dack,lnspection _._��.... . Fee Paid $_�sr...__ <br />, <br />--,�,----�_ �.____---.��_. .. .------� ----- -- P`PPI icani <br />e 2 q <br />By.._„r._.�S�I�_�?'_�l-L2---- - - --- - <br />F!an5 approved and Permit gran;ed as reques�ed hereitl. <br />_ ��rm <br />_'1✓��� _.-�--- Inspector <br />� <br />i <br />�Y � - ` . _ . _ _-- -- _ . <br />PERMIT :�"' �� "dl <br />