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CITY OF EVERETT <br />� APP��cation and Gas Installation Permit <br />%�� Work to be Done in Accordance with <br />��4 rdinance <br />�• , 4Y <br />Everett, Washir.gton......:'J:'.._`- �" ( `^ <br />........ ....., 19'..�... <br />........... <br />Location .._..'��%'y .... , � ;...-. <br />t ( ,_._._. v .� ? <br />.�., .......... � .J <br />. . . ............... <br />. . . . ...`.... <br />. ............. <br />: � •: <br />Owner ............:...`� o `+ <br />........... �...."-�<_ ,r. ,.� . <br />..... ' - . . . . t-i <br />. . ,,F•--�-•-• .................................... <br />`��.. �: ` ;. <br />Applicant ........ �-- ; � . i. . <br />......._'.. "� . <br />.................... y........'.................... <br />Rough piping inspeefion__ � <br />Pipe in excess of 60' <br />- Gas Sto��es <br />Gas refrigerators-___ _ Gas water heaters <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, inpU� _ <br />Gas furnaces over 400,000 B,T.U.input _ � <br />Conversion units l0 400,000 6.T.U. input <br />Conversion Units over 400,000 B.T.U. input ___ <br />Small appliances___ <br />---- <br />- -�---� <br />Call Dack Inspection . ' � � <br />- ---_ Fee Paid �_�.i � <br />__- - - -t.-'_, i_ � ,� -. <br />_-.Apqlicant <br />: " __. . ' . <br />. . �, <br />Y �--,-.-��� -_ ; .. ; <br />-- " .---=�'.�c_��.ri <br />Plans approved and Permit grented as rcquested hercin. <br />-^" �'?, <br />.- <br />- --�.�.;r �s� _ <br />� —� � - - Inspecfor <br />By_ <br />FERMIT <br />