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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance with;- ` <br /> � � � ; City Ordinance <br /> Everett, Washington--.-......�!::�:�...�r�...:....., 19.:�`�. ! <br /> ,_1 � <br /> • •-.--.... - - <br /> Locat iun............�.Q.i?..5...../..n.9 <br /> , _ �� .:. ��::.::.��� <br /> Owner......--�--...�Rsti�.--.,- <br /> .,P�. � . :� �r� , �� ..�. . ,...��_ . i. . . _... <br /> A licant.. .� �t ............... <br /> ;� y, : <br /> P „ t.,,. �--�- <br /> Rough piping inspection _�- <br /> pipe in cxcoss of 60.' �-=--- Gas Sroves _--- <br /> Gas refrigerarors _ " ,Gas water heaters--- <br /> Gas space heaters to 70,000 B.T.U. input _ . — <br /> Gas space neaters c�er 70,000 B.T.U. input -- <br /> Gas fumac,es to 400,000 B.T.U. input . <br /> Gas furnaces 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�-- ------ .\ : .�� �� <br /> �— �_. <br /> Call Back Inspection _— Fee Paid $_._1�;-- <br /> _ _____Applicant <br /> gy. �_. ��z,.c__L��_�!1--`� ---- <br /> Plans approved and Perm t gra�tted as requested hc�rein. <br /> _�_���.C. Inspector <br /> - -- —� `---- <br /> ((_ )7`-- _ — <br /> av-- -- — <br /> PERMIT ''�° 3r�r,� <br /> � <br /> ; <br /> a <br /> . . <br />