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CITY OF EVERETT <br />.Application .md Gas Installation Permit <br />` All Work to be Done in Accordance'with �' � <br />- City Ordinance - <br />,'. /� � - i <br />Everett, Washington...:..:.. `!..�'�.....1.�..........,. 19.�.:?.. <br />'T - o / /%7 ` -�,. <br />Location... �.� �`'' �" <br />, <br />� -�-��--• �.... µq 1...--�--�--� <br />I ! _. <br />�-:: .--••_ : i.c.a,...e...... <br />� t / <br />Owner...t.... . o-act�r.:..:k`.!.'x-tll'lti�d.• <br />,,. „. : _ _..,y,,� .-.7'` _ , % _ ._ _ _ <br />npplica nY..:..�... `�..Sr:'l.'' ......:.............. .........:.........�---.......... <br />�\: � <br />Rough piping inspection �__ <br />Pipe in ekcess of �50' - _ Gas Stoves __ �_ <br />Gas. refrigerators � Gas water heaters __� <br />Gas space heaters to 70,000 B.T.U. input __—_ -- <br />�������.i _ _ . :� ,-- � � <br />Gas space heaters over 70,000 B.T.U. input _____ <br />Gas fumaces to 400,000 B.f.U. input __ -- <br />Gas furnaces over 4,00,0OO.,B.T_U. �nput --.____ <br />Conversion units to 400,000 B.T.U. input --�___ <br />Conversion units over 400,000 B.T.U. input —_ <br />Small appl <br />-- , ,, ;._,..., . .od <br />Call Back.;lnsp,ection- _ Fee Paid �_V-� , <br />_ A plicant <br />,-„_.,_.�_---._----___._----- -- q;:� <br />C��� _ ¢' //�/' <br />BY- -•- ----- - �------------� -- , � - <br />Plans approved and Permit granted as iequested lheiein: <br /><- - •� <br />. . __ . y�;`,�,`' .{�iC�YL�•��� _- _ Inspector <br />'.; i _.- <br />/ <br />QY ---- i� -'----------- <br />PERMiT N� � �'='' <br />