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CITY OF EVERETT <br />Application and Gas Insfallation Permit <br />All Work to be Done in Accordance'wi�Fi �� � <br />- - - City Ordinance. <br />Evere't, Washi�gton ..... �... ..... �................ 19��?... <br />,/ � V pi ' <br />Location ...�..`I..�.S...��....(.!5.:�. . .. ...... r1..._. <br />_. .. .. . ... . _ _. . <br />1 � J ' <br />Ownec.....:....1/�"Lf.:! . .. .. �f ................... .•�---........... <br />r� ... <br />APPlicant--�t.'...:��._��.�.:�f.: � :.. ............ <br />. •-� ......... ..:... <br />� ' - . <br />Rough piping inspection �_ <br />Pipe in excess of'b0:,. _:_Gas Stoves _ __ <br />Gas ref,rigeretors � � Gas water.heatea_—_ <br />Gas ;pace heaters to 70,000 B.T.U. input .__� ___ <br />� n� � <br />Gas space heaters over 70,000 B.T U. input ___ __ <br />,, .,. . _ <br />(;as'fJFnaces `to 400,000 B.T.'U.' input <br />�.;as fumaces over 4pD,000.,6 U. in ut <br />r., u_u � .CTC} � P - <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 />----.��•:�— - � ,: <br />Call Backllnspection___.�__ Fee.Paid $_�L�T <br />;. ,c, <br />_r--�--,-- — -----_A�pliwnt <br />aY.. > � �� � % � 3 - -�-,--- <br />�. <br />Plans approved and Permit�yranted �as rcquested iherein. <br />�� � . <br />_. _. _ C.:_� �_:_u-'' ' "—'--- - Inspector <br />- � <br />QY- - - --- - �_ /-�� -` _�----- --- — - <br />PERMlT p:� ;��}�'; <br />