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CITY OF EVERETT <br />App�ica�ion and Gas Installation Permit <br />All Work to be Done in Accordance �wi�h ' <br />City Ordinance . . . <br />��. . ��,:� , '� ` .. 19_ <br />, y , _ � <br />Everett, Washington:::....nh:;�...T.....C� .............. . �.�... <br />a r . <br />Location.._..ai..��.� ... ..e�..... . s..a .................- <br />_ _. .. . ,� � � �� �_��[1 _ <br />�.�_;�__, <br />Owner. �!� �-� —""+' <br />.� . • <br />.,�. i�. 1....�. ����; � .�..Y...I . . .. <br />Applitant s<,..j , '� '�': t4' _:.... .............. ... <br />� . �- i <br />,�,, � � l �, . �l/ � <br />Rough piping inspeation �n n _ - ,_ <br />Pipe in �xcpsswf..60._'�. Gas Stoves <br />� ' <br />Gas refriperators'��.� Gas water heaters _�i___ <br />Gas space heaters to 70,000 B.T.U. input _ L�__ <br />Gas space heaters over 70,000 (3.T.U. input _ — <br />Gas fumacKs to. 4�0,000 B.T.U, inpuY`_ <br />Gas furnaces over 40QOOO,B�T.U. input _- <br />Conversion units to 400,000 B_T.U, input __i�—_ <br />Conversion units over 400,000 B.T.U. input _ _ <br />Small appliances_� <br />� - c�. <br />.. _ ._,`__��_.---`-.._---`----- mJ <br />Call Back'Inspection .__�—__._ ree Paid S,� ��„ i <br />._..._� � _ ----- ----- — ----A9plicant <br />' � �".�' � / 2 .3 <br />By. . �? 4� --- �______--- -- <br />� it � ��i _`i�� <br />Plahs approvcd and Perrn�t, gr�nted as lequested ilie�ein.. <br />-`" ° <br />. .--- -��.� �u.. �-_':.J __ Inspector <br />BY - '' ,�1�L— - -- -- — <br />f'EP,MIT ��" ..,..,, <br />