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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to^be'Done in Accordance'�wi}K' � <br />Ciry..Ordinance <br />;;'•�. , j <br />b <br />Evereit, Washington ............. � � ........ 19..�.. <br />�... � --� � � <br />, , <br />� y / <br />_ _. f� , , .� <br />. h ..�. ..A.M1 . C.. r�Cy ................ . <br />... r ..�... f ..... .. <br />'.. ,��}r <br />. <br />ocaTion� <br />Owner�. �/�i .e.rf". ,afi^ ,� - / /r � �i/�t.. <br />r . .... . , .....-- <br />....... ..... <br />_ -.,- <br />i4pplic�nt..!:.... :��t.o�`� �. i _ <br />. ...... .... . .............-� .............. <br />Rough piping inspection _ x _ <br />Pipe�in excess of 60' _ X — Gas Stoves <br />Gas-refrigerators -- �G�s water heaters <br />� <br />Gas space heaters to 70,000 B.T.U. input _ <br />. .; ..,., _ . � ;,i.-. , <br />Gas space heaters over 70,000 B.T.U. input _X �_ <br />t'„ r >i,. ,. _ _ _ <br />as f�itnaces to 400,000 B.T.U, input __ <br />Gas furnaces uver 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 />Srr�all, appliances— <br />�i <br />-�----r�-r-rr�,.,, --� .aDr . <br />I�j� �� �� <br />C`all Back�lr�sp�ection _ Fae Paid ���.�_ <br />,��..i—� Applicant <br />- �� > <br />C'- �t.�.+c��°` !/�,'_. <br />�Y'i- .—�,— - ---- — --- —� ; ,-- <br />Plans-approved and �m�t;orented as�requested herein. <br />. _. .__ �(Er'.���[��f4�_-r'1i:�----- -Inspector <br />�� ..! <br />Ey- - � - ------ - --- --_ . <br />PEflMIT N� 1597 <br />