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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance!�vif�}1r' <br /> � City.Drdinance �. <br /> Everett,.Washington.......J��L�..^.�.�.7........., l�.l... <br /> Location......L..�.tf..�.......lN.�!,!�t................. <br /> � (��a-a-��4�-.�d.J <br /> . <br /> Owner. .... <br /> � ..... ......... <br /> .-,�,., - � _._ _ <br /> Applicant .1. .. ... .................dr-'�'!!.....:...:............. <br /> � <br /> Rough piping inspection _ <br /> Pipe in excess of 60' • _ Gas Sroves <br /> Gas_refrigeratois �Gas water heaters � <br /> Gas space heaters to 70,000 B.T.U. input <br /> , , _ ... . _ . _ , <br /> � <br /> Gas space heaters over 70,000 B.T.U. input <br /> � - _ _ . _ <br /> Gas fu naces to 400,000 B.T.U, inputb_ <br /> Gas furnaces over 400,Q00-`B�T.U. input <br /> ,�,:� �.. . �v, , <br /> Conversion units to 400,000 B.T.U. input _ <br /> Conversion units over 400,000 B.T.U. input _ <br /> Small appliances <br /> � . . .- <br /> — � , .., _�.� <br /> / D'd <br /> Call Back lnspection ____ Fee Paid $_L�____. <br /> � /+ppliwnt <br /> o �'.�v--� �.��� <br /> ,?'�; -�--,:---------- ,„ <br /> PIaHs�approved and Permit�jranted as•requested h'erein. <br /> -- �' ' �'�--.--'��--� _Inspector <br /> py _ __ _ ___1l ���-- ---- <br /> PERMIT iv:' 4��)3 <br /> a <br />