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CITY OF EVERETT <br />Application and Gas Installation Permit <br />AIl Work to be Done in Accordance with <br />City Ardinance <br />Everett, Washington....._i�l�"�-••-`•"'.�.--��...-., 14I.-/�-.. <br />Locat ion.. _�11. Q.aC..c .. �.,.}.':-._��:�.._---. _..--'--- <br />O�vner..... �/.� ...L.�,.fi.f'a�Le�. ..... <br />A�pl icant......,,�1'.�..y.[+.:�?." ...:.........:..:...:.................... <br />Rough piping inspection _ ---- <br />Pipe in excess of 60' _-_._ -- Gas Stoves ___—_ <br />Gas refrigerators ____ _.._-- _ Gas water heaters _. � <br />Gas space heaters to '0,000 B.T.U. input _-- <br />Gas space heater over 70,000 D.T.U. input __ __ __ <br />Gas tumaces to 400,000 6.T.U. input -- <br />Gas fumaces over 400,OOQ B.T.U, input ------ <br />Conversion units to 400,000 [3.T.U. input <br />Conversion units ovcr 400,000 B.T.U. input <br />Small appliances—�''�� <br />��' <br />�.. <br />� <br />Call Back.lnspe: ion .._'_ ,- Fee Paid �/ ; <br />��- --J�__----.1�pplicant <br />• .,� <br />aY ii �:-.'G.ac:::_�..:.Lyf__ti��<�.G¢z.:1::.^..�------ <br />P!an5 approhd and Permit gren�ed �s requested herein. <br />L 1.�: Inspector <br />- �-s� - <br />� I � �_ _,L_;� ---- <br />J <br />PERMIT ��O ��`�`� <br />