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CITY Of EVERETi <br />Application and Gas Installation Permit <br />l�II Work to be Dnne in Accordance with <br />City Ordinance <br />'. �,' " <br />Everett, Washington ..............".............I..�........., 19....._.. <br />.. . <br />-� j . .-� ��.�. � . . <br />..� \._.� 4 ' f .. ! : ., i.�. <br />Location - � '' ' <br />....-- -� .........................�........................ ---........ <br />.:_ .,..r i � ,_ < .-,. �,- � r. ,� <br />� ,.. <br />Owner....._ .. ..... ........._..:.........-- � - ....................... <br />. .•- ? \ <br />Applicant ....:.................................... <br />............................... <br />�, <br />Rough piping inspection ___ ..-. _ <br />Pipe in excess of 60' ___ Gas S�oves <br />Gas refrigeretors. ___ _ Gas water heaters. <br />Gas space heaters to 70,OQ0 B.T.U. input __— '�. _ <br />Gas spacc heaters over 70,000 B.T.U. input <br />Gas furnaces to 400,000 B.T.U. input - <br />Gas fumaces over 40C;000 D.T.U, input ___ <br />Conversion unifs to <00,000 B.T.U. input . <br />Conversion Units o�er 400,000 B.T.U. input . <br />Small appliances___ _ -_ — _ _ <br />Ca!I Back lnspection ---`—_ Fee Paid S— �•- - <br />--- �—�--- ? 1 ----- - F`PPlicant <br />� �r ., G <br />4 .7�, r.t�Q� � �+ !, � i <br />BY--- -- ------- ----- <br />Plans approve<i.�nd Permit granted as requested hcrcin <br />-��}��, <br />,�!_1•3�-�-µ� -- - Inspedor <br />13y- _ - - . . . _ . _. . . . <br />PERMIT <br />