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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance Nv�th` '' <br />City Ordinance <br />Everett, Washington..._._..�^'.�..��-••-•.--••-•-, 19�-� <br />�t/} � ,p <br />Locatiun::.,� B..r�..�....�L..� . .::.. ...:....A'yr.�rSr._......... <br />Owner.....:.�tr"..'.�.� �._ J�� .............. <br />....•.... L...:. ..... <br />' -I"i� , v .y� ..... . . <br />ApplicSnt.::.....f../.�. � '..�... �.� ............. .............. <br />Rough piping inspection _ ^ <br />Pipe in excess of 60' —_._ Gas Stoves -� <br />�as mfrigerators ____ Gas water heaters !� <br />Gas space hcaters to 70,OOO1B.T.U. input _-_ x _ <br />Gas space heaters over 70,000 B.T.U. input <br />i_ <br />Gas fumaces to 400,000 B.T:U. input -- _ <br />Gas furnaces over 400,0OO.;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, appliances—. <br />o�e <br />Call Back Inspection __._—___ Fee Paid $�'�.�,.__ <br />>-�.��..---------- P`PPlicant <br />,��.�� 3' ,/ <br />BY•-t ----.-.-�..�.� ---- �� H"------ -- ----'�- <br />�. ., � <br />Plans approved and Per�t granted as requested herein. <br />_ .— _ ��%^-� ,--�"�-*�,,/_L"?i Inspetlor <br />�Y - - ��-���� - -- --- - - <br />PERMIT l�':' 4�j�� <br />