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CITY OF EVERETT <br />_Application and Gas Installation Permit <br />All Work to be Done in Accordanceltv'�}�'' <br />C��y Ordinance <br />Everett, \Nas �Cj �/ <br />h ington::..../.�.�:�:;C1.: A.::. ._ <br />)...:.......... 19..:�.:1. <br />Location.......:.{�.�li.�l.... �r�4-..--�- /� <br />�......---�----•- -•--�- <br />Owner ...---� } } � .G^ �(�:1�-,,_ <br />< Z ....... <br />................ <br />�, <br />%PPlicant ..........:..:.1�,.�i lr�,_e: 'i���'� <br />. ........... ..... .................. <br />Rough piping inspection ___ <br />Pipe in excess of 60' ____ <br />— Gas Sroves _ ____ <br />Gas re(rigsrators ____ __, Gas water heaters _.._._____ <br />Gas sp�ce heaters to 70,000 Ci.T.U. input ___i� <br />Gas space heaters over 70,000 D.T.U, input <br />Cas furnaces to 400,000 B.T.U, input ____.__ <br />Gas fumaces over 400,OOO.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 />�--- - � - _ . _--..____ <br />�; ' <br />Call E3ack,lnsp,ection _ _.___ �ee Paid ` � ' <br />`�--/ _.L__ . <br />......._-- ---- <br />-- -- ---- - - - Applicant <br />BY;�-. ,--�r.`.'-c.1L_'.a_.r'. ?_.:/ � <br />- - -' -' <br />- - --rc --�-- <br />Plahs approved and Perrnit granted as mquested;fierein: <br />Y� �, <br />. _. ___._- ��.. <br />G, A L<'� <br />-__ ✓�-��i_�!i <br />- - � - -. � . --- -Inspector <br />Dy - l��_ f __ <br />PERMIT �'« ,r�� ,;� <br />