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' ___ ' .� .N � . <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance�'with" � ' <br /> City Ordinance <br /> Everett, Washington/�.JJl.Lt.:`..:.1.�4.•-� .. 19�.fD.- <br /> Location...... � � --.......,.�,..�.�.�4 G.t.. .. � <br /> . � <br /> _ __ _ _. <br /> ........ . <br /> i ' ' f • [. � ' <br /> Owner........ .....•�- ,--.. ... r ................:.:�j!... �-• ..... ._.._ <br /> � ' � <br /> vr1.;"f15�. � . � �p ... . . .... <br /> �pplicant.......�..u`-'r.........:�?? ....��............... <br /> Rough piping inspection --_ <br /> pipe in extess of 60' �--_ Gas Stoves _- - <br /> Gas,,�refr'igerators -- -- - ,Gas watec heaters .�.Jv__-- <br /> Gas space heaters to 70,000 B.T.U. input —_� r <br /> �.;f <br /> Gas space heaters over 70,000 B.T.U. input <br /> Gas fumaces to 400,000 6.7:U. i�put -- <br /> Gas fumaces over 400,000 B�T.U. 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 /> -- —_ �..,� -- -- -- --��-_ <br /> Call Backllnspection _ _—__ Fee F'aid b_.��.._,.- <br /> ,y ,.. _ __ Applicant <br /> - -'— - <br /> �` ��—.1 �S' _ <br /> . � __ . <br /> sY.; .,, ,-_ _< _ � � <br /> plans approved and P mit granted as requested'hetein. <br /> _� , - <br /> l�{J � _ P;i_ � Inspector <br /> ay �� ��� - � _ - - - <br /> PERMIT ',:n � " ` `, <br />