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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance:l4ith <br /> � City Ordinance -- <br /> , . . �� <br /> f; ; ,, 9 <br /> Everett;..Washington......... ..�.�...::�:r......S..r......, 19�6.. <br /> Locatien......P�.J.f�:.�......�!!-n-'��Q,� � <br /> . ..-1:-•..-.............................. <br /> � __ _ <br /> Owner.........��---i.............?��'.......-•--•-••---........----�--•--.... <br /> ,.. .,. i. , (�� .� . -�, , �.Z�Z?-ati,;. . _ . . -- <br /> Appliwnt._.:u:"'''.��' , � <br /> ............. . ................................ <br /> Rough piping inspection __—__ <br /> Pipe in excess of 60' :;_�_ Gas Stoves _ <br /> Gas.,refrigeratoirs _ _._._ —_ Gas water heaters �' <br /> Gas space heaters to 70,000 [3.T.U. input _-- <br /> � , <br /> Gas space heaters over 70,000 B.T.U. input _— <br /> Gas fumaces to 400,000 B.T U. input — <br /> Gas fumaces over 4 Q,0n0_B.T.,U, input — <br /> �:..�F : �-.t,�:, <br /> Conversion units to 400,000 B.T.U. input _ <br /> Conversion units over 400,000 B.T.U. input <br /> Small appliances��1_� � � �� <br /> l.Sl.�-'�' c e e;' <br /> -� r� . _ , .. ' , '----'--;�.�N.'- <br /> / <br /> Call Back�inspectien _�__—:_ �ee Paid $_� �.;�_ <br /> : A <br /> _..__._��_---�—�- — -----ARPlicant <br /> � (�,�� � / r 9 ��_._._ <br /> s��.:�.,-��----- ,;------ <br /> Plans`approved and Permil-gr,anted as �equested hereiq�y <br /> , <br /> _ !'�'_'�_!_+y"i„� Y; r._,"�r' i�_ _ . Inspector <br /> BY -- — -- -- — -- — -- --- <br /> PERMIT 1�`� �-'. '' � ' t; <br />