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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in AccordanceiWlth ' <br /> � <br /> City Ordinance � <br /> , . ` - <br /> Everett, Washington..........::.'.i. .��. ,�1............., 19E'G.. <br /> � ... . <br /> � � � <br /> Location.........`7 f�3.�.....�.t:`::.:�: �! .""'-'......... <br /> _ _ . . �._.J.. . ... . <br /> Owner.._.....5._�`'..L'C�w�........�1..�......:^-�a��e.�-.�..�.:�,•.--.. <br /> .. . <br /> ApplicanL.�.._......... 1.:3�.`.�'`:i�........:.....:..... ..',__..,..._. <br /> Rough piping inspection � - <br /> Pipe in excass of 60' _-'-- Gas Stoves . _ _ _ <br /> Gas refrigera: :s _.___—. - Gas water heaters._______ <br /> Gas space heaters to 70,000 B.T.U. input _--_ <br /> Gas sFace heaters over 70,000 B.T.U, input _ _— - <br /> Gas furnaces to 400,OOG [3.T.U. input — _- -_ <br /> Gas furnaces over 400,OOO,B.T.U. input �/ <br /> Con�ersion units ro 400,000 B.T.U, input —L' _ - <br /> Conversion units over 400,000 B.T.U. input <br /> Small appliances__-------� - <br /> ---- . --t�-- — <br /> ;n <br /> Call Back Inspection ___.______ fee Faid `�__�__ ,_ <br /> --------------APP,I icant <br /> BY-; ;;�-.'�_�'� '��`-!!y � �--- -,�,-- <br /> Flans �pnroved and Perii�it"grranted-as requested :hercln: <br /> �` � <br /> -- -- ��aL����,1� —``�'-!— Inspector <br /> � ' - <br /> �1'� - -���' U-`..._ - --—-- � <br /> PERMIT '�" ' <br />