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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work ro be Done in .4ccordance'with <br />City Ord�nance - <br />Everett, Washington............�....1�....., 19 b,/.. <br />:� � 7 <br />Location.... �.U..�. �.....�L!'1-�..- �- ............. <br />• ,. <br />_ � � ,. . � <br />�,/� / ; <br />! • (Lav�ct, <br />Owncr....:1!��:..�4'1a�t._.�...1J.�s:.`..��..... � <br />, ...,,;1.2,_.` {'J� <br />Appl ic3nt-----��-�-��- �-----�.......�<(2 ................. _..... <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:as space heaters over 70,000 B.T.U. input _� _ <br />Gas fumaces to 400,000 B.T.U. input — —___ <br />Gas fumaces over 400,OOO.B,T,I�. input ____ <br />Cenversion units to 400,000 D.T.U. input _ <br />Conversion units over 400,000 B.T.U. input _ <br />Small appliances_._ <br />�,.-:,'� ----�-.r--.—�_"–____.'.---'--- �� <br />Call (iack lnspection _. ___.._ .. Fee Paid $_�_._`,,:.. <br />c... , <br />�,--';-----'--����%�------- - --- -- --- - P,pplicant <br />J ! _'� ' <br />Qy..._._.,.�_.L.��_1:`�i'- -------+"J.Cf __._._._'-!_'---- <br />. �. <br />r ian5 approved and Permit granted as requcsied h�rein. <br />, � , <br />�_!-1�:L�__6 ��' �<�'- :' __. _ Inspector <br />} � ,� / <br />��Y . .��.�"��� _ ___.--. . <br />PERMIT N e' 433�1 <br />