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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance�WiEh '�" <br />. <br />- Gity -0rdinance-:.. -. `. - <br />�. � . <br />. <br />Evereth, Washington :.::.:....::: ... :'. � 6 - . 19.�. �... <br />�:.,.. -:-.. •. ..,. <br />Location...!2� % `�.. /�:....`%� Q.4AA-cc. .......................... <br />_ _. .. _ __ _ _ _ .. _._ <br />, _ . <br />. ;.. :^ 1 a��t � : `����1. <br />r.lt <br />Owner....` .:..................� •--�---... �................................. <br />` ' � � C�au.�-, ;� V,.�6-0+� . <br />Applicant. --..... ....`.'�'. ,....... .:...'....--�- <br />Rough piping inspecfion <br />�C XXtc% <br />Pipe'in excess oQ:60"`-�' `� •�_ Gas Stoves -- <br />:f � <br />Gas :refrigorerors � Cas water heatecs � <br />Gas ,space heaters to 70,000 �.T.U_ input ���� x <br />� I:i! <br />_ ... i . _ <br />Gas space heaters over 70,000 B.T.U. input <br />�.[:, „_., .. _ __ , ___ _ <br />Gas fumac�s Yo`'400;000 B.T.U. input <br />Gas fumaces over 4p0,000-.,B�T.U, input ____ <br />(Y����:- x�,•; - <br />Conversion units to.400,006 BcT.U. input <br />: i-,:, <br />ConJetsion units� over'400,000 B(T.U. 'i'nput _ <br />Small,appliartcesi\__�`;,,.�---,;-�,•� �;,-�\ �r�;• <br />JI d ,���.�--. , .. ---�jJr <br />Call Back;lnspection ree.Paid 5 '? � .� �—�-. <br />. ��'. <br />By aJ�.___„—__�A9glicant <br />--C`,l�.�,q� �' /7x �' ___ .� <br />plan"s�approved and Permit granied as repyes�ed h��ei�i; <br />� � <br />- _ — ����;_Zt!���i�^:--- Inspector <br />BY-- -- --- <br />PERMIT I�° 41(l� � <br />