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f <br />CITY OF EVERETT <br />Applicatioq and Gas Installation Permit <br />All Wor;c to be Done in Accordance'OJitH `' ` <br />- City Ordinance <br />, , <br />Everett, Washi ' <br />.' � • � .� <br />. � <br />ngton..::.:.... ...........::......:.�..:.., 19 6..... <br />Location...:.::.04i..II_1`�....."�a'^,�, �--" <br />�•-'*�_�;.. � ................. <br />. ..._.� _.,.. ____..... _..... .._. <br />Owne r .............::S;.r�. �'Kr�•?'•�1..----.:. ::;..'.._...........----...... _ <br />.... <br />„ <br />.�„� y.,; ,. � ._ . ...._...... . <br />� , � <br />Applicant ..:......... .. ��{:`i!`..� .`m:.............-- -......._ <br />Rough piping inspection —.�.. _ <br />Pipe in ek'cess.of 60' 1-___ _ Gas Stoves _-�C-: — <br />Gas retrigerators __ __- Gas water heaters : i� —. <br />Gas space heaters ro 70,000 B.T.U. input ___ �__ _ <br />� ,,, _. <br />Gas spacc heaters over 70,000 B.T.U. input <br />Gas fu'maces to 400,000 B.T.U, inpuY_—_—___ <br />Gas fumaces over 400,000 B,T,U, input <br />Conversion units to 400,OG0 B.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />Small appliances _. <br />� _ . —�.,�... .. <br />Call Back lnspection _-___ _:_ F^e Paid �y ,�O �_.._ <br />_, — APPlicant <br />. <br />i <br />B '� e.... c— <br />y..,..__ _ _ -- t.i__ <br />Plar.s�approved and Pennit�granted as rcr�ested lierein. <br />_. _Lr�'` w�Q*'�1�t+^:� : _ _ Inspector <br />� 1. <br />BY r` �' ' <br />PER�IIT '"' "' <br />