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CITY OF EVERETT <br />Application and Gas Installafion Permit <br />All Work to be Done in Accordanceiwitli�' <br />�, City Ordinance <br />� / <br />Everett, Washingfon.... ..r...::.r.�,.� ................ 19�n.f�. <br />� � � , �%' / <br />Locafion...........: �:'...: .. ��..R........ �.. �"�..�:c?.^......... <br />.'"Y .. ,. ....... _._ .S'....�..;. __.. <br />i i � f <' <br />y �, <br />Owner.......{4-��.-G, � .e.::d:i�.....t. �c..:- t..cC.^.:t.u.r.l.L. ./... <br />� .. <br />�:- „ . __......_., .. is.. . . . . <br />' <br />Applicant ..................z�=.f:.L.��...... . .,, .........---............ <br />Rough piping inspection <br />Pipe in excess of 60' --_ Gas Stoves __—_ <br />Gas rofrigarators ,_ __ Gas water heaters �— <br />Gas space heaters to 70,000 D.T.U. input _— i�—__ <br />�i. - � <br />Gas spacc heaters over 70,000 6.T.U. input _ _ <br />�,as fumaces to 400,000 B.T.U. input _— __ <br />Gas fumaces over 40D 0��0 B;T.U. input <br />Conversion units ro 400,000 B!T.U. input _ <br />Conversicn units ov. � 400,000 B.T.U. input _ <br />Small,,.appliances_� _ _�__. .. <br />. r , l , .. , -. <br />_�� � �ti�-..�''-- --. _...._ <br />- - � �. .. _ _._ - .� ~ <br />:; , <br />Call Back�i sRection Fee.Paid �_�..�— ; <br />_....._�__.� �:...___•._-----' ...._.-- --- - �PRlicant <br />- � �--- " � c. <br />� <br />� <br />BY:3- ��:�/*f"�. ��. .._:,�.r_.. <br />, �- ---"--------------' -• _.----- <br />— ,�� <br />plan3-�pproved and Permit oranled as requcsted�hleiein: <br />i "'i � <br />— �_ h' �'' �72'�.)nv_ �) —_Inspector <br />� � <br />QY _'( �:'L_ — ---- - <br />PERMIT :�'': .'' .:, <br />