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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 />• '� ' r � ; � L � . �;./ <br />Everett, Washingtan....::1.::� �:i•.....�.�..., 19�a..(O <br />Location......�..!a..l. �...�T.: � �... , -S�!�'��-�--� <br />_ , . <br />. . .. ��t �.P� ...✓7"- ... .�.a-�f''�—.. <br />Owner.. C��.l�� ... <br />-•-- <br />� .. <br />; ...._. ... <br />,, � .... ` <br />,L.�.. ................ <br />'d�....li��nt � .__""".........•-• - <br />Rough piping inspection --- <br />Fipe in excess of'60`'._-- — Gas Stoves __- - — <br />Gas_ refrig�ratbrs --- Gas water heaters _� <br />Gas_space heaters to 70,000 B.T.0 input _,--. __ <br />�- �. ,�;�� � � <br />Gas space heaters ever 70,000 B.T.U. input _ <br />Gas fumac�s to 400,000 8.7.U. input — <br />Gas fumaces over 400,0OO..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 />Small appliances _--��.._.--------- ---- ----- � " <br />�;_� ,. <br />---`—'_._..� �_----... . .__ _ _��W.._� = r c- <br />Call Dack,'Inspecticn _. ._ -- - Fee Paid .''+_.[__,-. — <br />.__ _._._�__ -- -- _. <br />Appl i cant <br />_..,..t.....� ' <br />. <br />.'_ `� ._rl_Y� 3._,...__ . �__.--- <br />BYit�.,�.-.�.' . . <br />P(ins approved and Permit�granted aS reque,ted herein. <br />_ _ — �} 7k-,.�,;r!�-r�. -- -Inspector <br />ay - �-11�-•--------- <br />PERMIT ?'���� ��� �� "'r <br />