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CITY OF EVERETT <br /> ppplication and Gas Installation Permit <br /> All Work to be Done in Accordance'with ' <br /> City Ordinancc <br /> / i <br /> �'� ,...�3,?....., 14°:y... <br /> Everett, Washington....:.:.:.............. <br /> (�o-Lpt� .v.r� � ..... <br /> .... . ....--- <br /> .............. <br /> � .. . . <br /> ....... <br /> �...:... ............. _ <br /> Location... ...•. , <br /> ' .�&-w�..................... <br /> m....... <br /> ..........-- <br /> Owner. ......................u'.�''�' <br /> � Q,� � �::...:_ ...... <br /> licant...:.:.1°............... ....... ......................... <br /> App � <br /> Rough piping inspection �-- <br /> pipe in excess,of 60' - <br /> ;' Gas Stoves _-- <br /> Gas water heaters __---- <br /> (',as: refrigerarors _--- � <br /> Gas space heaters to 70,000 D.T.U. input _--- --- <br /> � ;�;� <br /> Gas space heaters over 70,000 B.T.U. input -- <br /> Gas fumaces to 40�,000 B.T.U. input _--- - <br /> Gas fumaces over 400,000 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 a,ppliances—.- - ----` <br /> ---.- -�! <br /> Fee Paid 5 -�: <br /> Call Back lnspe tion __ -- -� � <br /> �Sb� , __ — --- APPlicant <br /> .�..=:t---- $ /�� �� <br /> � p � � p� _ _,�-�-•'- <br /> l.�d.�^a� __ <br /> By�. �- . - -- - - <br /> - ----- <br /> Plans^�pp <br /> rnved and P=rmit granted as reqiiested Heicin. <br /> --___L-L�"d�tL-'-;\-' '--- .-Inspector <br /> - • . � <br /> By _ _ - - - _— <br /> PERMiT I�° ��{f' <br />