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CITY OF EVERETT <br />ppplication and Gas Installation Permit <br />All Work�to be Done in liccordance'with ' <br />City.Ordinance . - <br />.. � ..... ... . ........ 1 �?J.... <br />Everett,.Washington......_ � � �� <br />�_.9.. a.1..... 71:�:�-�:..-........ <br />Location .............. _....._ ._ _. <br />___._ _ .. <br />_ (/_� 1�� (/���e _ , <br />W hliH.d.+".... �. �.�,...�1^�^"....".S�-'""".......... <br />Owner ............................... � Q <br />,� ii:,, _ ,._...._. �-.. <br />/.� �� . _.... _. _ <br />......---••-� --- ..:......................... <br />App�ic`�nL ......:....:.:..:...�: ... . <br />Rough piping inspection � -- <br />pipe in escess ot-60,' _ Gas Stoves — <br />Gas seaceehea�ters to 70,000 Bap water heaters___-- <br />� , T.U. input --�_---.— <br />; .', <br />Gas space heaters over 70,000 B.T.U. input <br />Gas fu�naces to 400.000 B.T:U. input — <br />Gas furnaces over 400t40p B,T,L1, input <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input — <br />Small appliances__--- � . . u <br />Call Backjlnspection __ _ Fee Paid $� w„r,c <br />.._. _Applicant <br />,� <br />-•--, c:-/� � S.�t�..'� 2� �'-'--- ---_.-3�- <br />ay..__�__.�.�-- <br />^!'an3 app�oved and Permif g�5nted as requested h�i'e1n: <br />[�,) � <br />,; �T �i��c'� __t-�_Inspector <br />/C�hn-- ----- <br />�, _ _ _ _ --- - - — <br />PERMIT N'� ��'��� <br />