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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance'with <br />City Ordinance <br />Everett, Washington--'•:-.-.--.-y!.�':::/.........., 19.�.�. <br />'/ �7 ., . <br />./ ���n <br />Lowtion..........� Z.Q..F'...../..� cY:....... G.`.�r�!r..'.��-�----- <br />Owner / � , ���v� ..... <br />� r�� ✓�. i � r.���i <br />Applicant.......^:�4 `-�Y�sf � t'. ^i� :.............�.... <br />Rough � iping inspection -- <br />Pipe in excess of'60' _:--_ Gas Stoves _ <br />Gas refrigeretors _ _ Gas water heaters __-_.._ <br />Gas,space heaters to 70,000 B.T.U. input — <br />Gas space heaters over 70,000 D.T.U. input <br />,, , _ <br />Gas fumaces to 400,000 B.T.U. input <br />Gas fumaces over 40,0,000 �B.T.,I,I, input <br />Cnnversion units to 400,000 B.T.U. input —_ <br />Conversion units over 400,000 B.T.U. input <br />$rqall a liance -----__-__-- . <br />PP ,. <br />-- — . C.:. . ��- - � � --- �—rnrr <br />Call Back Inspection __— _- Fee Paid �- /�.�: <br />----•-- � - - ---- - - Aqplicant <br />By.: _.__ �� _ � . L-Lz �- _s �'__7 rj -- - ----r'r-- <br />Plans`approved and Permit granted as requested lierein. <br />` <br />/ I. <br />_ -- ���1`'``yt`—�-',i' ' Inspecfor <br />QY _=-� -'-�l`.- -- - — <br />PERMIT �d� � ` �''7 <br />