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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Worlc to be Done in Accordance'wi�R�� '•� <br /> , - � City -0rdinancc -_ - . <br /> Everett, Washi '{r Y <br /> .¢ _ ,. <br /> ngton"`::::.:..��!?:.:..;:�...::.......... �.965,� <br /> f . � en � <br /> Lucation.........�.!�.�..<!.....�L�.�:t..�'�w........... <br /> __ ._. . ..��. _ . <br /> Owner...................�................---...------............................... <br /> �.cur;i�..: . :��.-: . .. . . . , . . . <br /> .. . ...� . . �.._ _... ... <br /> Applictnt.:.�......... ...'1�.........................�--....................... <br /> Rough pipi�g inspection �_ <br /> Pipe in excess ot-60' _�—_ Gas Stoves__ <br /> � <br /> Gas, refrigerators _—_ _ _ ,Gas water heaters._.___.__ <br /> Gas ,space heaters to 70,000 B.T.U. input ___�- <br /> J.,, . � � i . t>. . .. . _ ... <br /> Gas space heaters over 70,000 B.T.U. input ___ <br /> �. _ ,; - _ <br /> Gas furnaces�to 400,000 B.�.U. inpui __..___ <br /> Gas fumaces over 40i0r,000.��T��U,. input _._ <br /> Conversion units to 400,000 B.T.U. input _ <br /> Conversirn units over 400,000 B.T.U. input _ <br /> Small appliances_ ..- . �._��__���__ � <br /> ' ��� . <br /> � . �------�----�----,-,•-- <br /> , ed <br /> Call Back�lnspection �__�__ Fee.Paid 5_���.__,�_ <br /> � � <br /> • --- --_--- ---.--- � _.�App�licant <br /> _..... _ _ <br /> � ,� <br /> B ,a �u ! �.. � . , . <br /> y;__._-=C.<k - - � �_�`/___-_ <br /> __t�;--- --- <br /> Plans approGed and Permit granted as requested �heiein. <br /> - --- -_ta'���`-'�_ '41`:+ _-- -Inspector <br /> �' - <br /> QY -- ---��>>�'-------- -- - <br /> PERMIT I�d° �=� 1 (� <br />