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CITY OF EYERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordanc� with <br />City Ordinance <br />�� � .� / <br />._. <br />'� . <br />! ' r <br />Everett, Washington.......-�...%et._...� .................. 19'.::... <br />! � �� -- �- - %Z c i 1 ,) <br />LOC3tiOn.....'.'._/.L�.K..�....l:d�., f'� ..-^.+Q:�.h.�C:....""'.' <br />I p �f ! /Jf �% <br />Owner...... • ..�A..C.�..!!r....�!..�¢::G-ct�..r ............. <br />Applicant..--��--�- �::�. �'..'.J.j7......:....L......) ......................... <br />Rough piping inspection _ _ <br />Pipe in e�cess of 60' _- __ _ Gas Sroves _—__ <br />Gas refrigerarors .____ __. Gas water heaters ...�i..__ <br />Gas space heaters te 70,000 B.T.U. input <br />Gas space heaters over 70,000 B.T.U. input _ <br />Gas fumaces to 400,000 B.T.U. input __ ____ <br />Gas furnaces over 400,000 `B,T.U. input _-___ <br />� <br />C�nversion units to 400,000 3.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />Small, appliances_ __ � __� �.____� <br />c �. ' <br />- --- - ------ - ----'- - --- <br />._._-.�__, <br /><ra <br />Call Back Inspection ____�� Fee Paid $__� __�„__ <br />._„-•--- -, .-- ------- ------�---- -- -----'�`PPlicant <br />, l� � _ „ <br />By.. ,.�.-- -�-.�is. �_ "` _L ' Z-!1` .._..---- - <br />Plans-approved and Permii granfed as requcsted herein. <br />-- -�,."�"�iji�T' +:ti:�'__ _ Inspector <br />� <br />BY - - i� )1� -- <br />PERMIT N° 3 � � �, <br />