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i <br />� <br />� <br /> CITY OF EVERETT <br /> Applieation and Gas Installation Permit <br /> All Work to be Done in Accordance wifli " <br />! '.City Drdinance _ <br /> ;; ;-: <br /> , _ i , �,, , , <br /> ; � . ,, J ,. . <br /> Everett, Washington.....��%�....(.,.�........., l�/.- <br /> '/ G �y t-- <br /> Location.._..�.�1". � R.....�L4:�-••-- •.............. <br /> - <br /> _ . _ , ' .. .. U. .. .. ._ <br /> _ <br /> � , <br /> Owner........... � <br /> � . ......---..�. .........- - f ... <br /> . <br /> • ��---�-� ......- -- -... <br /> _ � ._ .. ,,,-��� <br /> Applic�ant.'r.�}'.i--=-�-- : ...-�-'�-`---`.....:.i'.�'...-.............. <br /> ! � I , <br /> Rough piping inspection <br /> Pipe in exceu of 60';-«_••�: Gas;Stoves- <br /> Gas refrigQrators ____ Ga,$ water. heaters.__ <br /> i �`.- �f <br /> Gas space heaters to 70,000 B.T.U, input __L'�__ <br /> ____._.... <br /> Gas spece heaters over 70,000 B.T�1J. input __ <br /> Gas fu�naces to 400,000 B.T.U. input � <br /> Gas furnaces over 400 Q00 B.T.U, in ut <br /> �..r. . : � ., ., p <br /> Conversion units to 400,COC B.T.U, input __ _ <br /> Conversion units over 400,000 B.T.U. input _ <br /> Small appliances <br /> � < <, <br /> - ------- �.—r-;, <br /> / �d' � <br /> Call Back�lr�spetlio Fee.Paid.§__L__T�T_ <br /> Y r:�. <br /> `-�� — APP,licant <br /> BYi�:`1` / � _ <br /> :o <br /> Plaris�approved and Perrr�lt yrented'as iequested Here;n. <br /> ,� ,,� , . �. , <br /> ��A ,( <br /> ✓--g-".`!•,R�-.f7;�. — __Inspector <br /> QY-. . (�J-.== --J-�-�-` _ _ <br /> PERMIT N:' �8�5 <br />