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CITY OF EVERETT <br />APP(�cation rnd Gas Installation Permit <br />All Worl. ;0 6= Done in Accordance:riil!i`' ' <br />CiYy Ordinance - <br />Everett, Washinr�� �� . . 1/6 , 19`..�."... <br />--y... .....�. <br />�. ........... .... <br />Location... � �.r....._,_�( �'1-te-«. <br />.........................�...4 .................... <br />• 1 .. . . �' . � � . � - ... . _. .. <br />( �(' � <br />Owner.......�.�%-�C�tq,.�,�C,'�y ` . . <br />PP . , ✓ � ........................ <br />...... <br />, __.. <br />A licant..!:....�;(�ttl. _�;�w,...���'�+ ................... <br />Rough piping inspection x __ <br />Pipe in excess of�60' _'�___: Gas Stoves _ <br />Gas -refrigarators _ _ Gas water heaters..?� _ <br />Gas space heaters to 70,000 B.T.U. input __ K _ <br />Gas space heaters over 70,000 E.i.U. input _____ <br />Cas furnac�s to 400,000 B.T.U. input <br />Gas furnacas over 400,OOO,B;T U. input � <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 4'10,000 B.T.U. input _ <br />Small appliances_ __�, _ _ �_._ _ _ <br />S�'- , ----- ----- --_ _ : � - <br />Call Dack'Inspection _____,___ Fc�e.Paid$_ ��� <br />, � , .;. ... � <br />,_.,,_. _- --.--___�•C�`.1' ..Applicant <br />BY��;�� ---- -��._�.�7.25"- - -- <br />; � --- <br />n��+�s' appro• ,d and�Penrit gtanted as req�iested'fierein. <br />- - - --������L� _ . - Inspectoi <br />Q>� - - - <br />PERMIT �;'�� _������� <br />