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CITY OF EVERE7� <br /> Application and Gas :nstallation Permit <br /> All Work to be Done in Accordance !with <br /> . . , _ � - City-0rdinance , " <br /> • ,' " ' <br /> Everett, Washington.. _......�„�,�.,...__� �q_�?, / <br /> Location......... �.................�--...... ..... <br /> .. 3 i e�:�� <br /> __ � _; �/.}� � <br /> .......... <br /> Owner........ ......�?-.+.!�-......�.. .-5..�-A-SL..,1............. <br /> f <br /> ApplicAnt � r'.'.�_�:�.:... _ I ; . <br /> Rough piping inspection �` _. <br /> Pipe in ex�ess of 60' - ..�_ ,�',as:Stoves —_ __ <br /> Gas refrigerators _._�.._ �Gas water heaters-�__ <br /> Gas ,pace heaters tc 70,000 B,T.U. input �_.__ <br /> „ _ __ <br /> Gas space heaters over 70,000 B.T.U. input � <br /> , _ _.__ <br /> Gas fuFnaces to:L400,000 B.T.I�. input <br /> Gas furnaces over 400SOQO.�B.T.U.; input <br /> Conversion units to 400,000 B.T.U. input __ <br /> Conversion units over 400,000 B.T.U. input <br /> Sma I I,app I iances__�� <br /> � �. <br /> - - - „ ----L-- ��a � <br /> Call Back Inspection _.�_.___ Fee Paid $_�- <br /> � . . <br /> ,'""`i"' ----------------_Fpp�icant <br /> � <br /> Bv.-�-_.. _ ---- - <br /> -- --r,�— - <br /> �lans approve8 and Permit-granted as •rey�esled herAin. <br /> -- -`�'= ^1�=�'L�'--_�"�t�y�-- Ins,�ector <br /> bY - - %�/�-� —� ---- <br /> PERMIT I`�".' 4311 <br />