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CITY OF EVERETT <br />ppplication and Gas Installation Permit <br />All Work to be Done in Accordance�wifh'` ° <br />City Ordinance - <br />�' r ........,..i9�.s.`. <br />Everett; W,ashington...:..-����•��/� <br />Location...�.� a . :.�":V'�'�"1��-... <br />--(_�.....![ _.. . ... <br />C�i�,.�,"" -..`��'�ti:`.7�.. <br />. ....-�----- <br />Owner.... .-.... <br />, ���.f`:nt.-k . .�-._ ..:........ <br />Appl ica nt ..:................ <br />Rough piping inspection __.r� <br />Pipe in excess of 60' ----- <br />Gas Stoves %� <br />Gas,refrigeretors -- ;Gas water heaters..�� <br />Gas._space heaters to 70,000 B.T.U. input __ _., — <br />Gas space heaters over 70,000 B.T.U. ir.put J <br />Gas furnaces to 400,000 B.T.U. input /�� <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_�—+�� o. <br />--- . , �--- ---�----_"'�'e17cz <br />Call Back'InsPection ___- -_- Fee Paid 5_�tu�� <br />ijj Applicant <br />-'..�I —`a���YJL[-6A.3'� � � 1 <br />h_ 1 � "'... <br />BY�.�g' 1 _ <br />plaFisl�p�ircved arid Perinit granted es mquested llierein. <br />- � ,r' S'�_— ._ _Inspector <br />- �' - <br />QY - - --1.1`""' -f --� , _ — -- - - <br />PERMIi �`�° '� ' " � <br />e <br />