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CITY OF EVERETT <br />Application and Gas Installafion Permit <br />All Work to be Done in Accordance wi,h <br />� CiN Ofdi anw <br />. � ^'/ <br />,' ���G_ j. <br />Everett, Washington ......... . ...5_.:---....-•---...., lY�-'.!. <br />Loca tion.. ..... �'�.d <br />Owner. <br />...v.� .......... .......,..... �..l.2Le.�.!.1a;2�z�,, <br />F .. . <br />,, �C <br />.,,__�. � <br />/1ppLca�;!:;!.!.:. ._..:-"` \. , <br />...,., _. �.... _ -_........ <br />Rough piping inspection _ __ _ <br />Pipe in exc$ss of, 60' . -+- -- : YG�s:S!nves ._ -� /- __ <br />Gas refrigerators _______.__ .Gas H�ater heafers.l� __, <br />Gas space heaters to 70,000 D.T.U. input _ <br />_ _ <br />Cas space heaters over 70,000 B.T.U. inpui <br />Gas furnaces to 400,000 B.T.U, input __ _ <br />Gas furnaces ovr.r 400,000 B.T.U. input ___ _ <br />Corniarsion units to 400,000 B.T.U. input __. . _. <br />Conversion units cvcr 400,000 B.T.U. input <br />Small aooliances_. <br />Call Dack Inspection ________ Fee Paid $—�-�_- <br />. .----- .-�pplicant <br />-- <br />[�y,._ _.. <br />f,��� ..._ _. _ <br />Plansapproved and Permi{ g;anted as mquested herein. <br />:4- ' - <br />- � � --- �.-.`�-�-1�L����� _Inspector <br />C., '� - <br />PEP�IIi �':' �31;� <br />