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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance I�Ji�K'� ' <br /> __. :: \ ,,.rCity.Ordinance. ,. <br /> ' '. � ' ,. .;. <br /> Everett, Washington...��..�:�,,,,,,,,,,,,, �.��, <br /> Location.....lf i.�---GL((:4cSr.s�.----_-••------- <br /> /�� ` . _ <br /> Owner . <br /> Applic`ant� t ---��. ��.�......... •••--�... ............. <br /> Rough piping inspection <br /> Pipe.in excecs,of 60'��- - ��- �� �Gas Stoves <br /> \�, <br /> Gas,refrig�rators � ,Gas-water heaters.� <br /> Gas space heaters to 70,000 B.T.U, input <br /> � ..L-� ___ _. .. <br /> Gas space heaters over 70,000 B.T.U. input <br /> � _.. _ <br /> Gas�fuineees to 400,000 B.T:U: input _ __ <br /> Gas furnaces over 4QD�OO�.�B�T U,. input <br /> Conversion units to 400,000 B.T.U. input ___ <br /> Conversion uniTs ovcr 400,000 B.T.U. input <br /> Small appliances_ <br /> --------._�-*,:— - / �, .- <br /> Call Back�lr�speclion_.._ _ Fee_Paid � \_,____ <br /> ;-,;_,i�����, plicant <br /> H ���. .. �" '-�� <br /> �y,jj_r,c�_ �=��--_ <br /> PIanS�appioved and�Per it granted as requested .Herein. <br /> — �"�" ' -.. ' Inspector <br /> ����`---- <br /> B��_ _ _ _ — -- - <br /> PERI�Ii' N� 4867 <br />