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� <br />CITY OF EVERETI' <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance.with <br />City Ordinance . <br />Everett; Washington......�/:.f-�...�:-:�..........., 19.�::�_.-. <br />�� � ��J <br />- l% 7 � =r'::-�--�--.. <br />Lowtion ..............��...�..Y.... oy'•`•'•'•:" <br />_ ,./�' <br />_.. , <br />Owner ................�_��.�t_.:C:.........�... ,1:'rtt� ...�............. <br />A�.. . . , . - � � �.� � �`r' :C. �% � . <br />pp I icent�.;.:..... _.. � ... ........ ...-......:.....------............... _. <br />Rough piping inspection _ _.� _ . <br />Pipe in excess of 60' _-_-_-- Gas Stoves __ ---- <br />Gas refrigerators .—_. _. . Gas water heaters.__W_W_ <br />Gas space heaters to 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,OOO.B.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 appliancei .�_�._. _._.--.----_-------�---- -- <br />.�._ . ---•- --__ 6 (�,b, <br />Call Bacic;lnspection � � FeaPaid $_�. �_ <br />;_,�._. <br />--- - ---'_' -- — - - -.Applicant <br />- <br />i�,� _ , <br />B ... _ -. _� ��:.i�.Ll.-_ � _ /l,_.r`: /_j-_....""�.._____"' <br />y.. _.. . . ... <br />Plans`approved and Permit granted as requ�sted:lie�ein: <br />"f' ° <br />- - - — � �:�*�i�y��_ � _ . _ Inspector <br />� �y,_ .. <br />� <br />aY — - /�- �----- <br />PERMIT R�� ��� ���� <br />