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CITY OF EVERETT <br />Application and Gas Installation Permit <br />AIl Work to be Done in Accordanceiwith <br />City Ordinance <br />Co��- i s...... ,96.s- <br />Everett, Washington :..:............:......:........ , <br />Locatian.........�E... ��:� .....6�G 1: ��-�..F...l ................. <br />� � / / p /7� � <br />Ownc r ..............C.ti'71�.P....l�.� -...�/.Cr.�,�r�r.'�.^.-�........... <br />. .... ., ,_ . ��� �,����y .....,.... . .. _.. <br />Appl icant...-�-----...�.(.'....:'F....:.l...\ ..........:..::......................... <br />Rough piping inspection ___�(--_ <br />Pipe in excess of 60' __ _ _' Gas Sroves _- —__ <br />Cas refrigerato�s Gas water heaters ___� <br />Gas space heaters to 70,000 B.T.U. input __�_ <br />Gas space heaters over 70,000 B.T.U. input _ <br />Gas furnaces to 400,000 B.T.U. input <br />Gas fumaces over 400,OOO,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 />Small appl <br />Q� <br />Call Back lnspection _ _ i-ee Paid �y.__ <br />, ,,, i <br />._.._--- -�._ -----,-APP,licant <br />By-; _.._`���-c:. �. -�--l�-L`�- _------ ---- - <br />Plans apprcved and Permit granted as requested:Herein. <br />� _. <br />�'�r�� <br />_�Sui��� �.•il_. _ _ _Inspector <br />-��,'`_ •_�. <br />a>' - --- -- <br />PERMIT i�° � ��'�� <br />