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ClTY OF EVEREfT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance:with" <br /> i. City Ordinance -. : <br /> , i ` <br /> _. ;,' \ � ; .. <br /> Everett, Washington.:.::..� ..�=�. . , 19.�� <br /> V ... ..,...... <br /> r <br /> Location...........�.f 'z�....--•-�--... .. ...�......... ... ........ <br /> _ __ _ ___ _ __.. .. _ _ <br /> Owner.....................•- .................---........................-�---...... <br /> �., , ' { .. . ��,p . <br /> - <br /> ApplicanL--...:..:�..l.��r`.'...Yrn!!r-.......:�...... - <br /> Rough piping inspection .—._ __ <br /> pipe in excess of 60' _—�---- Gas Stoves <br /> �, , <br /> Gas ,refrigerators _— _--- C�as water heaters. <br /> Gas space heaters ro_70,000 B.T.U. input —�— <br /> Gas space heaters over 70,000 B.T.U. input --_ <br /> Gas fu�naceS�, to 400,000 B.T.U. input —__--. ' <br /> Gas fumaces-over 400,OP4-,B T.0 input <br /> �,..�_i �.t.��., 1 <br /> Conversion units to 400,000 B.T.U. input —__ - <br /> Conversicn units over 400,000 B.T.U. input <br /> Smal I,appliances�____---- -------------,-------- <br /> , �,. , <br /> - - �..,, . <br /> � � <br /> Call Back;lnspection .� Fee Paid $�� <br /> -„—t <br /> ___�__— �. � __..Applicant <br /> ev,,._�,.�.�����0 3�.__� _._i:_. <br /> Pfans app�ovei� and Perm't�'gfanted as 7equested hE�reiP� <br /> - - �.!S�I��Q�� _ _ -Inspector <br /> s�26 <br /> Bv -���� - ------- -- <br /> PERMIT Ad° '�?"'�� <br />