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CITY OF EVERETT <br />.4Pplicat�ion and Gas Installation Permit <br />All Work to be Done in Accordance'viith" <br />C�ty .Ordinance. <br />Everett, Washington. <br />Location..... /_� l <br />y� .. .�yj <br />Owner..__, al.��-�'° <br />Applicant..... �.�./.�:�.... <br />./� �- <br />��........, t9E�.,r <br />l ----�--........_.. <br />��i rs. .r ._...... <br />�:::..... �.-a ..:............. . _. _ . . <br />Rough piping inspection ____ _. <br />P�pe in excess:of 60' ___ __ Gas Stoves <br />Gas refrigerators ____._ ___ _ , (;as water heatcrs . \' <br />%-' _ <br />Gzs space heaters to 70,000 B.T.U, input _ _ <br />:as spacc heaters over 70,000 B.T.U. input <br />Gas fumaces to 400,000 B.T.U. input _____ <br />Gas furnaces over 400,000 B,T.U. input _____ <br />Conversion unifs l0 40G,000 E3�T.U. input _ <br />Conversion units over 400,000 D.T.U. input __ _ <br />�mall app�iances________ <br />------- -- /— - - - <br />�all Back{Inspecfion.._ ____.___ Fee Paid §_L�� _ . <br />� <br />��� ------ ---- <br />-Applicant <br />_ <br />�'r �. _+� ___ �-'-'-f<-_c_e-�i <br />� <br />_ �ons approved and Permit gran�ed as requested herr.in <br />`--.n ^� <br />� ���� �.`� �---- - --.Inspeci� r <br />B�, ,�" . . � -_-_' <br />PERM17 � � ;� � <br />