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CITY Gr EVERETT <br />Application and Gas Installafion Permit <br />All Work to be Done in Accordance iwfth' 1P1 <br />` - City Ordinance <br />Everett, Washington........��,.f,,:.:Q�,.�i:.:.,...., 19.�.fi. <br />Location......... �.Q..Q. �y__...1J-.I..SY.--•-- <br />. . /� �� _ �_. --••- <br />Owner .l..,R.-l',a.rt!J-.r y e' - �/°"�-�t z.-- � . . <br />� �-.i� ,� c ' , �' �1��._� � ( ,% <br />Applicant..... .. . �......w�i .......:......:............. <br />Rough piping inspection �__ <br />Pipe in excess of 60,',_:____ Gas Stoves ___ <br />Gas refrigeretors ___ __ �s water heaters ..� <br />Gas space heaters to 70,000 B.T.U. in ut <br />\ !� r P _ <br />Gas�space heaters over 70,000 B.T.U. input <br />Gas furnaces to 400,000 B.T.U. input _ <br />Gas fumaces over 400,OQp p.�'`�� input _ <br />Conversion units to 400,000 B.T.U. input �_ <br />Conversion units over 400,000 B.T.U. input _ <br />Small appliances_-____�__ _ <br />� <br />, �, _ ... -� � - <br />Call Back!Inspection __.__ Fee Paid $..L� <br />�. .� <br />,-'=`t -----------..._.fppliwnt <br />/6 � �,' 0 <br />BYµ--r-.._'S��'�`L�-�- �� . .—.-._..W� <br />—�---�.y. _. <br />PIaKs`Approved and Permit,grented as requested'fie�ein: <br />�(;�� �„ � <br />_ - — -� '1.�'r�'Q"1.-��"y, `, t _ .Inspector <br />BY - 1i.. �%!�C_ ` <br />PERMIi At� �� + <•g <br />