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CITY OF EVERETT <br /> . ppplicaPion and Gas Installation Permit <br /> All Work to be Done in Accordancc with <br /> , City Ordinance <br /> � � <br /> .t":..�-�-- �� " .......� 19`�..[. <br /> Everett, Washington.......:...... . --��� � <br /> : ;.` + <br /> . .. ; ., � ,. ;,. >_ �•_ .<�,. r�. <br /> Location `"' ..;!•----��............ .... <br /> ............... <br /> ;....:::'.::�!`.::. .. <br /> '� - - '' •---!...................... <br /> Owner............:...................... f, . <br /> , <br /> .. , <br /> � y, ;: -.�� ' ^: . . : ,-+':•; "',✓" <br /> Applicant .:...�......................................i:.......................... <br /> Rough piping inspection __-.---- <br /> Pipe in excess of 60' _ .__ _-. Gas Stoves . -- - <br /> Gas refrigerators_ __—_- Gas water heaters-r�' <br /> Gas space heaters to 70,000 B.T.U..input ----- - <br /> Gas space heaters over 70,000 B.T.U. input —_--- -- - <br /> Gas fumaces to 400,000 B.T.U. input —__-- - <br /> Gas fumaces over 400,OOQ 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 /> Small appliances—- ------- --- - - =--- - <br /> ------r �_. <br /> Call Back�lnspecnon -_ Fee Paid $._�-�--- <br /> ------------- - - - -p`PBlicant <br /> �_ • <br /> ���i� , .�:. ;: � ; <br /> BY---- ...�'- -- - ---- ----- <br /> Plans approved and Permit gryniQd as rrquested herein. <br /> ; , . -. . _ <br /> -'--'' `"=�- �, =--�-�-T"" _Inspector <br /> . . , <br /> ., . , <br /> � ,� {.,__. <br /> y. _ - -- <br /> -^ ---- <br /> ---- _ ___ _ - <br /> PERMIT ' ` `' <br />