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CITY OF EVERETT <br />Application and Gas I�stallation Permit <br />All Work to be Done in Acwrdance with <br />- City Ordinance <br />Everett, Washington:::......e�.`:�'✓..��.:. ,.�......, 19.�%t`r <br />o� % � O j(.4�1„it,p?,,,....-----.. ....._ <br />«,� <br />Location .................. ��-�-- --�• - <br />_�.j _. <br />Owner.. ...i:� �....� �::k!,-j .............. <br />� . . .. � <br />,-� .�;<._ _ _ <br />Applicant._.........L.�-.`.lf..:.� .............. - - ....____._. <br />Rough piping inspection _-_ _- _ _ <br />Plpe'in excess of 60' _: __ -: Gas Stoves <br />Gas refrigerators __- __ .Gas water heaters .. <br />Gas spa�e heaters to 70,000 B.T.U. input _-_-- <br />Gas space hcaters over 70,000 B.T.U. input __ <br />Gas furnaces to 400,000 B.T�U. input _. ______ <br />Gas fumaces over AOO�OO,q.tieiTru; input __ <br />Cor�version units to 400,000 B.T.U. input _—� <br />Conversion units over 400,000 B.T.U. input _____ <br />Smallappliances_—_—.___,�_ _���__. <br />c <br />-- ----- --- ^---- - ' - ---. ., <br />, ^; , <br />Call Back;lnspection __. .___ Fee Paid 5�_.,_._..._ <br />"�..,.------:.. _-=----- - -:- .--. - -. Applicart <br />� _i <br />ey.,_,,.�_ _�'�,�:s�-�``_/..�,�.1�.�_. <br />� . � - - <br />Plans`approved and Permit granted as re��uested hercin. <br />,y,s�y C <br />- _ . - ('_S;,;d•� ������:p -- ---Inspector <br />B�- � �. , �%� _ _ - -- — _ <br />PERMIT '��;�' .�� ., _ <br />