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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in P.ccordance;witFi '" " <br /> _. _ Ciy Ordinance <br /> Everc:t, Wash�ngton........�.�.....\..�......:...., 19��... <br /> a ��s ........:�......................... <br /> _ <br /> Loc a t i on.... . .. ........... ..........."'- <br /> , .._ <br /> N�� � � � ���� - � ._..... <br /> _ � (���,y <br /> Uwner_....l..-""�"".,;'-_--.. . . . . f'----•-- <br /> ..... . ..... ........ <br /> i'11t�._ .,Y�Q. ' �. _ <br /> /,. ,�..;,-` . ` .. ......... f................ <br /> �pplic`ant... .......:.... .... ..... . . ... ' <br /> Rough piping inspection <br /> pipe'in excess of'60' _ Gas Stoves <br /> Gas refriqerators __�--- `Gas water heaters <br /> P B.T.U. input __—_.1--- <br /> Gas s ace hezters to 70,000 <br /> Gas s ace heaters over 70,00 <br /> P d B.T.U. input <br /> - _ _ . --. .._ _ <br /> tzs fuYnaces ta 400,000 B.T.U. input <br /> Gas furnaces over 400 OOO..B.T l�. input — <br /> ��.f i�.tt v 'v � <br /> Ccnversion units to 400,OQ'J B.T.U. input <br /> Conversion units over 400,G0� S.T.U. innut _ <br /> Small appliances�-�-�— - - — <br /> . � <br /> -- , „ . --- --/�— <br /> ,�.::� <br /> Call E3ackins,ection __ FeePaid$�.-_,;;;;— <br /> � (,,�� �W �� �' Applicant <br /> QY n--,-��-------'----- -_ -- <br /> P1ar�5'approved and Permit granted as requested herein. <br /> —�_�C1�_.i�_'___;;'�:=--_I nspector <br /> �y,_ - - - - - - - <br /> - - PERMIT . I�'" `�`��? <br />