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CITI" OF EVERETT � <br />Application and Gas Installation P�rmit <br />AIl Work to be Done in Acwrdance`vri�h"� <br />City Ordinance , � . <br />, <br />, %(� ,/ , <br />Everett,� Washington::�.:.SJi.�...�.:i�:::::...:.: 1�- �� <br />...., ...V... <br />Location..........'5,.�� �- ` � i�*' J�l` <br />. .................. �... ..---........_................-- <br />:,L. _ �...'. <br />Owner..._i.:...... t�:el.:.�.ti3. :.......��.?.!1-E.�'i:v:K ...................... <br />A I ..,. . .._ ,. _ . _.... <br />__ ....... ._. <br />,.. <br />' ' ��: f t '`.-.. :............................ <br />PP icant ......:....:.. .�..�.............. . <br />Rough piping inspection _—. `L _ k <br />Pipe in excess of 60' - -- Gas Stoves _ 1_— <br />Gas refrigerafors ____ ___ Gas water heaters ,- -_ <br />Gas space hcaters to_70,000 B.T.U. input ., �_ <br />Gas space heaters over 7J,000 D.T.U. input __ <br />Gas fumaces to 400,000 B.T.U. input __—_— <br />Gas {umaces ovcr 400,000 B.T W, input <br />Conversirn units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input _._ —_ <br />Small appliances_--_ ._ __. _._ . .._ _ _. <br />;- <br />------�;---------------�--r �1--- <br />Call Back+�nspection _. __—.__ Fee Paid $_t�__�.-...,_ <br />,•R , <br />�.,..., -- —'---- ----- _ __ _ Applicant <br />BY-- �_ �`-_',�-L-lt � - / /_-�- / % - <br />�lans'approveJ and PermiNgrarited,as'iequested�lierein. <br />! ` <br />_ __�.��+a.s''r+��D ._._ Inspedor <br />dY -'t'—` � �_ ---- — <br />PERMIT �:;" '���'� <br />