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CITY OF EVERETT <br /> .C�olication and Gas Installation Permit <br /> All Work to be Done i� Accordance '.with ' <br /> `' _ City Ordinance - <br /> . �' .`,"�" � � i �� : ,.. �. .. <br /> Ev� % <br /> erett,.Washington...........N...:�:f!........°�..�.J......,. 19C�°-- <br /> Location....(.��'�.'.�'. � ��4 <br /> ..............v....�::�'---............................--- <br /> Owner..._��aexAe,a.........:�:?t-:`.'-�::.b`'....................... <br /> � ' . x � . _ <br /> .._ _ <br /> rjeplicant.�....X...;.4.......�:A;} �e.�� ���.. ........ .......... <br /> � <br /> Rough piping inspection � — <br /> Pipe'in excess,of 60':— , Gas Stoves _-- <br /> Gas.refrigerators _____�- ,Gas water heaters.�— <br /> Gas space h�aters to 70,000 B.T.U. input � <br /> Gas space heaters over 70,000 B.T.U. input --_ <br /> � ..i.r <br /> i,as fum.aces to�,400,000 B.T.U. ii put _ — <br />, Gas fumaces over 400,000. BiT.U. input — <br /> Conversion units to 400,000 B.T.U. input <br /> Conversion units over 400,000 D.T.U. input --_ <br /> Small appliances�._ t , , <br /> i . , -----_.��.� �.� - <br /> ���� 1 -- <br /> Call Back Ins ection __ Fee Paid $ ,-_,"--- <br /> �. _.�� . (1. , � � ----��ApplicanY <br />. L;.:�� � / 1 `/ <br /> BY.Y-?"'a-y-'-�-"l"t'OL" --- ----- ,- <br /> Plahs=approved and Permit, gra"`ad 5s requested Piere`n.: <br /> - � ��� `, . <br /> +' �"! �':'i—____Inspector <br /> II� <br /> av — -- - - - --_ ------- <br /> PERMIT 1�':' ��'''� 1 <br /> i <br />