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CITY OF EVERETT <br />Application and Gas Installation Permit <br />Ail Work to be Done in /ucordance wilh � <br />City Ordinance • <br />Everett, W'ashington....:.p���:qG.':�..:..!..� .............. 1�`�.' <br />� -) a � -,) <br />Location ...............�.r.�--c�..l.....l..�r ...,: .. �'K�� <br />_ _ . . __ _ _ <br />i <br />Owner....................... ... ......... ..Q:t.L.-�---��- •-•--•---.......... <br />PP �y . _, ... . ,r- ' __ ._ <br />Alicant ..:.............:' .:...f..�,../. �..i................---.......... <br />Rough piping inspection —� <br />pipe in excess of 60' __.--_ Gas Stoves --_ <br />Gas refrigerators Gas water heaters _..�._ <br />Gas space heaters to 70,000 B.T.U. input �. <br />i;A _ . <br />Gas space heaters over 70,000 B.T.U. input ---_ <br />,,: __ _ . <br />Gas fumaces to d00,000 B.T.U. input —_ <br />Gas furnaces over 40QOO�Q ,B�T.U. input ---- <br />Conversion units to ;00,000 B.T.U. input —_—_ _ <br />Conversien units over 400,000 B.T.U. input _. <br />Small appliances_______.�_____.. ... r_________.�_ --. <br />��„��.��_ _.. .- — . ' /��. _. <br />Call Backl�nspection. . - _ Fee Paid $ ��._, "_ <br />_ t,`.�.____— ..Applicant <br />By..�f�IQ"�^-�l -- _ _.._�.._ . --- <br />, � ., <br />Plans approved er�d Permit-granted as requesTed `Fierein: <br />�./t, ) - <br />_ ---- Sr����_ s���S' Inspector <br />�� - — <br />BY - - ��1k- -- - -- - - - <br />PERMIT ?��� :' , +` 1 <br />