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CITY 7F EVERETT <br />ApplicaFion and Gas Installation Permit <br />All Work to be Donc in Accordance with <br />City Ordinance <br />Everett, Washington .........:........'.'.....::..�'.'..........., 19..: <br />Location . ' ' ^ , , . <br />Owner ............::: '• -_,_ • . <br />Applicant `- '�.. '`' ..� . . .�' . <br />% ' <br />Rough piping inspecfion_ ._ ___ _ <br />Pipe in excess of 60' Gas Stoves <br />Gas refrigerators _ _ Gas water heaters '� <br />Gas space heaters to 70,000 B T.U.input ______ <br />Gas space heaters over ?O,OOU B.T.U. input _ <br />Gas furnaces to 400,000 B,T.U. input .__ <br />Gas furnaces over 400,000 [3;T:U, input ___ <br />Convcrsion units to 400,000 B.T.U. input . <br />Conversion Units cvcr 400,OOQ B.T.U, input __ <br />Small appliances___.. __ _ _____ <br />Call Back�lnspection <br />r <br />—. Fee Paid $-_ _! _.- _ <br />----- -- - -- APPlicant <br />� - 'c <br />Pl:,ns approved and �ermit granted as requested hrrcin. <br />� F. � et.: r; . <br />— ----- -- - 1 -- — Jnspector <br />Dy i � .`i( • <br />PERMIT <br />