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CITY OF EVERE77 <br />Applieation and Gas Installation Permit <br />All Work to be Done in Accordance'wifh <br />City Ordinance <br />. , � G'' " ; / <br />Everett, Washington......:.�:l.j:.:.::.: �::.. �.:......., 19:'..EY... <br />Location ....... " y ':l ✓1 �=-f�/: i i• :/ <br />6 <br />... � ...... .......... ....... <br />. . . . . � _.. ._.. / ... . <br />( / i / <br />\ i . <br />♦ <br />Owner...................�..........i.../..:._._:f: ��.:�•...................... <br />PP ", . . _ __.: / • <br />G� �_ .J/ , <br />A licant.:.:...:...._.....---�---......C.4 ................. ............._. <br />Rough piping inspection � _ <br />Pipe in excess of 60' _-_____ Gas Stoves ___ _ <br />Gas refrigerators Gas water heaters�.__.__.-_ <br />Gas space heaters to 70,000 B.T.U. input _ /\_ <br />Gas space heaters over 70,000 B.T.U. input __— <br />,� <br />Gas fumaces to d00,G00 B.T.U. input <br />Gas furnaces over 400,000 B.T.U, input —_ <br />l: <br />Conversion units to 400,000 B.1'.U, input __ <br />Conversion units over 400,000 B.T.U. input _ <br />Srr�all appliances__ _ __--- ____.-.--.�W <br />- --- _ ---- _ —..�__ <br />, j 'ne' <br />Call Back lnspection __— Fee Paid j_`_?�_._ _._. <br />...,.-.�-------- ----� - . Applicant <br />/ l/ •'f 1 <br />��i� i I __- �.:_1_i"�.. ' _ . _. _I. .. _ . <br />f'lans �ppreved and Permit granted as �cques;ed IieFein. <br />--- —,`�".�i j'.�'•"--`'r�'..'- -- -..Inspector <br />� ; <br />% ;'r <br />[3y " <br />�— - — — - — <br />PERMIT "� ' "� <br />