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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> Ail Work to�be Done in Accordance Iwit}i` ' <br /> City Ordinance -. <br /> �'- r <br /> Everett, W 7 f ` ^ <br /> ashington.........�l;...�'.�...v..�� 19,�� <br /> Location__.....l�L�.�....�iR c_� �'`-c:-'.......�-�� <br /> ... . ..La y)G � � - _. �.. ' 7 <br /> Owner... �<.t�- '��J t{'r' ut��i.�l--.. .... .. <br /> � , , , � j <br /> App ,.- . �-ty-16 _:� - r�` <br /> licant.....1,f�t"t..' .: ............. ...........-------..........i....... <br /> Rough piping inspection _" — <br /> pipe in excess of 60' �;_,i: Gas Stoves —__ <br /> Gas;refrigerators ___�_ �Gas water heaters J <br /> Gas space heaters to 70,000 B.T.U. input �^ <br /> �:;. __ _ . <br /> Gas space heaters over 70,000 B.T.U. input _ <br /> �� _ ' ___ . <br /> -s fumace� to 400,000 B.T.U. input <br /> Gas furnaces over 400,OOP_ B.T.I{. in ut ___ <br /> �, ,_. i ,.Liv . P <br /> Conversion units to 400,000 B.T.U. input _ <br /> Conversion units over 400,000 B.T.U. input <br /> Small appliances_______.-,.�_-___ <br /> ` ��. <br /> .;, — ��ad;. . <br /> Call Back Inspection _��_ Fee Paid 5--�-,r,Y.�� <br /> t ;, ,, _�4pplicant <br /> f 9 � , <br /> Dy.,�_�.- -''.ilr�rl_�`�."� -'�_-- ---_. <br /> � „_ <br /> P!a�is�Ahprov<_d and Per�nit granted as requesir.d herein. <br /> f_" �, <br /> - -- - -_ _-��,.*_y�i��ti- Inspector <br /> g Y ��_/�`----------- <br /> PERMIT N`,' �� �i] t� <br />