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i <br />� <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance <br /> , r: - _ <br /> " ,_.r�. /..�_......., 19�':-... <br /> Everett, Washington.....��..................... <br /> Location .........�.�:..�.y /`��-�..l.�.:Fc�....................... <br /> ,, : ';, <br /> :••:*r�i.�:�. �,!'' !'� t,. �. <br /> �...�.:.:.::�.`..........i. <br /> Owner..........::............ .. ........................... <br /> . J''v; . �/� : . .r'. . <br /> Applicant .�......:.::.'�... '�C:�. �: a� . ' � . <br /> � <br /> Rough piping inspection_��_-- <br /> Pipe in excess of 60' ----- Gas Stoves _.- ----- <br /> Gas refngereiers_---- Gas water heaters�- - <br /> Gas spece heaters to 70,000 B.T.U. input ___... �-- <br /> Gas space heaters over 70,000 D.T.U. input _ _-_ <br /> Gas fumaces to 400,000 B.T.U. input _ - ---- --- <br /> Gas fumaces over 400,000 S.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 /> - - --- —�,V�- <br /> Call Back'Inspection --- Fee Paid 5--'-------- <br /> � nt <br /> � , _ _ - - APP ica <br /> — -- --�------ - - - <br /> --- - ,.: i i N�ir�.,.a:._ <br /> B _�.., ', ---- -- ---- <br /> Y-- <br /> Plans approved and Rermit granted as rcquested herein. <br /> ;� <br /> _--�' (, '-��.:L -+'�•j�.- _- Inspector <br /> __�1_�..�'�-'__ - --- <br /> �Y - - <br /> � `- -- - <br /> PERMIT -� ' "-� _� <br /> . <br />