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CITY OF EVERETT <br />APP��cation and Gas Installation Permit <br />All Work to be Donc in Accordancc wifh <br />City Ordinance <br />Everett, W�shin ton......rn;� _ �' ....., ly�!� <br />9 h � t�g <br />...... <br />Location..'T 6 D l L� , <br />. ........ . ........ . <br />. ..................... <br />� ,. . p,-........ . .......... <br />Ownei ........: °'�-�-� ' � �-!*�.`Yn'h. <br />.. . _........... _ ....... ..................... <br />� , . , � .......... <br />L . <br />Applicanf.:....�A...:,..N�6.Q� ' � � {�',� , . ._.... <br />_ _.........,�`t!��'. -•- <br />• ... . .................. .. <br />Rough piping inspcction __�s _ <br />Pipe in excess of'60' ___, <br />-- -- Gas Stoves ____ <br />Gas, r�frigerators _______ Gas water heaters__L__ <br />Gas space heaters to 70,000 B.T.U. input __ <br />Cas space heaters over 70,000 6.T.U. input _ <br />vas furnnces to 400,000 B.T.U. input _ <br />Gas furnaces over 400,OOp_ B�T.U, input _ <br />Cenversion units to 400,000 B.T.U, input _� <br />Conversiai units over 400,000 B.T.U. input ____ <br />Small, appliances----_----- -- <br />_ _ —_.�_ ___�t .__.. <br />CallBa�k,lnspecliorn, ------ -z��- <br />,� � � u � (r , U� Fee f'aid 5 ., � ,- <br />� —Ap,-:licant <br />_ <br />�Y.,; -,�_,_.__ ���.� -- ��T 7_---------._____ <br />PL3ns�approJed and Pcrmit granted a's requested h�r,ein. <br />- -_ --� - �-��:�-P�{".'(''.,.' _ yr <br />— -- - _Inspector <br />B�- <br />P�RMIT i\�O ���7Fi <br />� <br />