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CITY OF EVERETT <br />Applic.:rion and Gas lnstallafion Permit <br />AII �Nork to be Done in Accordance with <br />City Ordinance <br />Everett, WaaSington..........�.-...� y ..............�� �9 �k� <br />< � <br />Loeation.....`?�.. l!:!..�........-'�:� f.c....vt ��...c.4e�............ <br />ner.-�i� !f,.�'ff_..4.Cr....1.3,."f.t�i/�.�!? ..................... <br />Ow 1 <br />Y\pplicanL`..i.(�`.1!:a�� �'S _ <br />Rough piping inspection —.__ <br />Pipe in excess of 60' _;�__ Gas Stoves _____ <br />Gas, refrigerators ____ ,Gas watec heaters._� <br />Gas space heaters to 70,000 B.T.U. input __ ___ <br />Gas space heaters over 70,000 B.T.U. input __ <br />�as furnaces to 400,000 D.T.U. input ____ ___ <br />Gas (umaces over 4pD,004. B,T.U. input . __ <br />Conversion units to 400,000 B.T.U, input ____ <br />Conversion units ovcr 400,000 6.T.U. input ____ _ <br />Small app <br />�all DackiliLspection ._______ Fee Paid 5_�-�-r <br />; � �. , <br />�' i -`--f --------/�PP.licant <br />tiYtV'irtif�k"�y`�-�`.'�'r.�-,----------- --- <br />—`io <br />Plars approved and Permit'granfed�as requested lierein. <br />_— r.'�,c,�,.�.1 i_L,._��. _ <br />�- y�1-�---�—�-- - . _ Inspedor <br />13y. ��-� �..��1.4_....� <br />-� �-----�----- �--� <br />PERMIT N:' �165�) <br />