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. <br />CITY OF EVERETT <br />Applicatit�n and Gas Installafion Permit <br />All Work to oe Done in Accordance with <br />; <br />City Ordinance <br />, <br />_ . . . � i � , � �, : � .. , _. <br />. . r: <br />Everett, Washingtun:.......::.��r.:�:......� ............... 19.;.:�!.. <br />.� � � `� ``-11 °"c're-c.��.... <br />.. <br />Loca t ion..........�,1.._i.., .. ........ ............. ............ ......... <br />,, .. _ .. .._y <br />Owner............�.;:�..e....� CCs?^'.`.:a.*..^.'.�'::!:�.........._.... <br />� � ' � <br />Applicant._.........:_.�."� ��...._ -__..........__........._.... <br />Rough piping inspection � �. - <br />Pipe in excess of 60' Ga; 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 />Gas fumaces to 400,000 B.T.U. input <br />Gas fumaces over 400,000 B.T.U. input <br />� <br />Conversion units ro 400,000 B.T.U. input __— -_ <br />Conversion units over 400,000 B.T.U. inp�t <br />Small applia�ces_._-------_---.. .--- __---.-�---._ _.. <br />- ------- •-- --- - - - - - _ _ ����__ <br />Call Back Insp,ection _. ___..__ Fec Paid $_. �� ;... <br />,.._.. -- - �-- - - -�___ _ . --...Applicant <br />' - � <br />,,. <br />� . <br />, r � , <br />� <br />By....�.- _-(t -...� _��_.�'_- -- - ...._,_---'- <br />',1 <br />Plans approved and Pennit.granted ac reyuesfed.h�cei;i. <br />�' � <br />. <br />- --�, C�+=C'tG' F •4'<_' - _ Jnspeeto: <br />� �.�_.� _ <br />c�' �i _ii( , - -- - - — <br />. <br />PERMIT AT`� ? � : <br />