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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> 111 Work to be Done in Actordance 'with <br /> City Ordinance <br /> Everett, Washington::..:f... . �. .�'(�....... 19G� <br /> q �'.�... <br /> Location.........'2./..i�.�'....1��:....�Q!:1...LJ. ../L�.�............. <br /> k , �y' � �jQ ��� <br /> Own e r..........!1�.4.<t!�r!!�.......fr......��lc`^.:�{xt}.r........._ <br /> - � , / <br /> ApplicanL....... ,:�..�...!5..�:.-�......................................... <br /> Rough piping inspection __�— _.. _ <br /> Eipe in excess of 60' .: -_. __ . Gas Stoves _ ______ <br /> Gas refrigerators ____ ,Gas water heaters.: ��__ <br /> Gas spacc heaters to 70;000 B.T.�� input _ � <br /> Gas space heaters over 70,000 B.T.U. input _ _ <br /> � . <br /> Gas furnaces to 400,000 B.T.U. i�iput . — __ I� <br /> Gas furnaces over 400,000 B.T.U, input . _ � <br /> Conversion units to 400,000 B.T.U. input _ <br /> Conversion units over 400,000 B.T.U. input _ <br /> $mall appliances--_ _ ___ _._ ._ _.�__,., <br /> . .-------`---- -- -- — - - --� --f�'-r-._ <br /> Call Back Inspection __ ____ Fee Paid y_T.�"._ <br /> .J:.__ �- -- -- - - ARPlicant <br /> . , �� / � � : � i <br /> By;. .._. _ . .(;.._._[>_c_�-c_ . _ /_i�'_��_��_ . _ _ _.. .. <br /> Plans approved and Permit graiited as requested:herein. <br /> . - - . ._ ...;:5- � �__,_ . .. _ _Inspector <br /> C <br /> @�, . C C �.�'6� <br /> PERI�i ',T" <br /> , ' ; <br /> ; <br />