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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance'.with ' <br />City Qrdinance <br />:r" yA � 7 <br />Everett, Washington-�'�'3�i -'----�-- ---�---� 19 n----� <br />=�p �� /(�niPTo�✓ <br />Location ............................ ... ................. ................... <br />,•_ <br />Owner....� f� O�.�ff R.ab J�� P J� : <br />.......................... ................................ <br />Applicant_�......� .". " � "` ' . <br />..................- .....................-� ... <br />Rough piping inspection x _ <br />Pipe in excess of 60' __—._ Gas 5toves _____ <br />Gas refrigerators _____ ,Gas water heaters —_ <br />Gas spacc heaters to 70,000 B.T.U. input ._______ <br />Gas space heaters over 70,000 B.T.U, input _ <br />Gas furnaces to 400,000 B.T.U. input __ <br />Gas furnaces over 400,000 B.T, U, input __ <br />Conversion units to 400,000 D.T.U. input �11 <br />Conversion units over 400,000 B.T.U. input ____ <br />Small appliances.�✓___ <br />. .— ,..�r-------- i; ._;,— <br />Call Back�lnspectien _ -___ Fee.Paid �y_�p'� <br />- - -----APPlicant <br />-- ---"-- <br />, �' - ., <br />, <br />°i:+ -- -- - -----^ -- <br />--.... , �, <br />Plaris �pproved and Permit granted a=_ requested herein. <br />CT �% <br />�1� "'-'� -��_ __ ---'�� __ InSpector <br />aY ��` � L��=c�,�{ -- <br />�-; <br />PERMfT N:' 4765 <br />