Laserfiche WebLink
CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Wcrk to be Done in Accordance'wi�h <br />_ _ City Urdinance -- <br />Everett, . W,ashington......._..hlr.?sG./...%.�.1.`....., 19Fa.(.�. <br />%l � ,�J� ��Q � <br />Location......../...�.�-'`"---../L..�:: !�C�S�r.:.^..-�d..,f:1�Gr.v� <br />__._. .._..r.�. _ f .�...._ . n.... . <br />%% _• �- �!/ /i <br />Owner......�i.if:it.4..4r!........ �....�!L.`-: .�:<ii_I <br />i.-�JJ�r_.._...,.... _ r�-'-�c. � . <br />:: ...... <br />__ .... <br />Applicant ............. ..'{-:.....�,,.....:.: ....:.... . �... �::...::.... <br />Rough piping inspection _L�— <br />Pipe'in excess of 60' -� -_— Gas Stoves — — <br />Gas rnfrigerators..�._.� tGas water heatrrs. <br />Gas space heaters to 70,000 B.T.U. input —_ — <br />Cas space heaters rver 70,000 B.T.U. input -- <br />,,�, . _. �.. . _...... <br />Gas fuinaces to 400,000 B.T. , input ._ <br />Gas fumaces over AOO,OOO..B�T,U. input — <br />,, , ._,,. , . x <br />Canversion units to 400,000 B.T.U. ir,put <br />Conversion units over 400,000 B.T.U. input <br />Smal��appliances--_ _ • <br />�.. � <br />- , .. -- ��% <br />Call Backjinspection .. . Fee Paid S.__L��_._. <br />rr-� /�� <br />-----------APPI i ca nt. <br />gy,t._,r,�,�:. G_.!c ._ � _/.` �—__----,;� <br />'ans apprcved and Permit granted as requested h'erein: <br />� 4� �..' � � ��, . — . <br />n L <br />- ---. a 11' "cW,tvC�/: �'•�>_ ' _ _Inspector <br />�Y - C��Z -r- - �---- <br />PERh11T N:' �27Q <br />