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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance iwith' <br />City Ordinanee <br />�/�' '�11 ^- <br />Eveiett, WashingtonJi;:� ............ �.��...........�-19C% . <br />��.f..,... <br />Location..,}..�.IL._` ..7.�t.t. �.-..tC..':..r�: �: � ................ <br />. y�/ ._ ._....._.. '......_.. . <br />Owncr..�.�LL.((..dh...... �'�� _. : �Dl.J�:L.."' .......... ..... <br />AppliwntS.�L�,�.,i..._,�rf'�,1.`.°._.: � lv::::�..:.r �6 <br />Rough piping inspectio�� _ _ <br />Pipe in excess of 60' ___ __ __. Gas Stoves _�_ — <br />Gas refrigerators .-- ._..___ Gas water heaters �._ _ <br />� <br />Gas space hcatcrs to 70,000 B.T.U. input ___ ` <br />:as space hcaters over 70,000 B.T.U. inpul _—_ <br />Gas fu maces to 400,000 B.T.U. input __ _ <br />Gas furnaces over 400,000 6.T.U. input __ <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 />_ /' C�tJ <br />Call Dad< Inspection ._..__.._.._ Fee Paid 5-(�.s..-_.�-.. <br />�, <br />+--� ___ — ---- --.Applicant <br />- • , . .----- <br />_r;!J� `" . . <br />RY�; --��--..._.:--.�c-- --- --- -. . __ ... _--.,_.--_. _. <br />Plar.s approved and Permit granted as mquested lierein. <br />- --- -�l.[..�.�� � � ___ Inspec;or <br />�-- — <br />[3y ��� .. .._.— __--- � <br />�"! <br />PERMIT �':' � �'�, <br />