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CITY OF EVERETT �t,�i 1 � <br />Application and Gas Installation Permit <br />All Work to bz Done in Accordance IH+F}�i `' <br />. _ .. City-Ordinance . <br />Everett, Washington.......�.1,/.�r.�l...O.S..... ,,....., .14�� <br />y �_ <br />-y}.� G <br />Location...�-�-P.�..�......*.�--..../..1..!...y ... .. ........... .... <br />j '/ . <br />�j% ? V. d,�f <br />Owner...��`1�iZ:t! �-t-�......�.....U4::�-�!�`��.. <br />, i� .�:: �f.._/`F�._.G... �.... _ <br />Applicant.. --.'... .... ...�. .. ,......... ...........,........._ <br />Rough piping inspedion _—' ` _ <br />pipe�in excess,of 60' __�-:—.- Gas Stoves —__ <br />Gas refrigerators _________ Gas water heaters._.�.�.. <br />c <br />Gas space heaters to 70,000 B.T.U. input —� <br />� <br />Gas space heaters over 70,000 B.T.U. input __- <br />,, . . �; _ _ <br />Cas fu`Fnaces to 400,000 B.T. . input -- <br />Gas fumaces over 4QO,O44.,B T�,, input _ _ <br />Conversion units to 400,000 D.T.U. input — <br />Conversi�n u��its over 400,000 B.T.U. input <br />Small, a�pliance�___. _—.--------- <br />i <br />Call Back,ic;,pection _ .._.�_ _ .Fee Paid $ _,,,,�t. <br />.,....,_----_ �_.____� �_._.---APPlicant <br />, C�" �..___/� �-• �_..___ -._ <br />y, .�.��:�_ --- �,� . .. ,_ <br />i3 ,._;_:,,: - <br />Ei�ns'approved and Permit yrented as �equested herein. <br />��, , <br />���' � G 'y;�'�yJ "y �� _. ._ Inspector <br />.._ .-�-- -� �T / - <br />�� �(`-��� - ---- -- <br />PERMIT �1`.' 4z'�� <br />