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CITY OF EVEkETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordanea with <br />City Ordinance <br />Everett, Washington,.r.'s'r.'.:....:.%:..:.� .................. 19s:::.5:� <br />, <br />1 ___ � ,. <br />�-4'� � �} '. a...:.:.:/. �`.it!G:.;:.�.:::.: � <br />Location..........:.�......... .. ��----.. <br />. .. __.� : . .,/. _.__. . . . <br />Owner..�.. . %.✓ t_ , i�-,-�i�Ge� ... <br />__ <br />.:... ..... I�. :......................................_.... <br />_ ' _, . . <br />�� i�� �:.�f�. Cc ,.q . <br />PPant. .,� ..:...........!..1.....�.:. .�.---..._._........_._...... <br />Rough piping inspection '��__. _ <br />Pipe in excess of 60' __ , _ Gas Sroves ._- - <br />Gas refrigerators ---_ -- Gas water heaters._.__ _- <br />Gas space heaters to 70,000 6.T.U. input �- - <br />Gas space heaters over 70,000 D.T.U. input ___ - <br />Gas furnaces to A00,000 B.T.U, input — — -- <br />Gas fumaces ovcr 400,0�0 B.T.U. input __-- - <br />Cornersion units to 400,000 B.T.U. input _---- <br />Conversicn units ovcr 400,000 B.T U. input _—._ <br />Small appliances- --� --------___.. ------�--__ _. <br />- ---"---------�-'—�—�--.. <br />� . U <br />Cail 6ack /I�nspecticn _-.--- Fee Paid $_'�-'--., �_,-..- <br />�I.L��/ -��� "_ - - - nPPlicant <br />=1 _- _�__.. . _ .._ <br />� ��%���� �� (�e:�✓� <br />By_. __ _/6's-�`"�'`�- -- - <br />y. ---...__ ...-� - --- <br />Plans approved and Permit granled as mquested:lierein. <br />,� <br />� .�(� �� .L��-�/r�'-�i''-i----�-,�''::. . - _ .Inspector <br />-- � <br />gY- _ ' __�F. _ . _ _ _ _ <br />PERMIT ' - " ' <br />