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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with" <br />City Ordinance � <br />� `- <br />. ., " r <br />� � � ........ <br />Everett, Washington:..... t.. r.......l..�/ ..., � '�... <br />Location..........7..:�.:1...��. � • .............. ..��....... <br />....... .... <br />.... <br />... ./' .. .... ._.C_ . ._. <br />c / <br />�P.�t.�t<. �..... . . �Z .. .. . .............. <br />Owner ......... ... . ................. .. <br />, _ . r... . ,. ...... .. . . � . _ .. <br />. , .. � � . , ,- <br />ApplicanL�: .......sd 1:'�:..........t .:................ <br />-" ................ _.. <br />Rough piping inspection _�'_ _ - <br />Pipe in exFess of 60' - _ _ _ Gas Steves _ _ _ _. - <br />Gas refrigerators .--_ _ Gas water heaters __..___ <br />Gas_space heaters to 70,000 13.T.U. input .__ --- <br />�+':� <br />Gas space heaters over 70,000 B.T.U. input ._ _-- <br />Gas fumaces to 400,000 6.7.U. input . — <br />Gas furnaces over 400,000 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 appliances_._�__—__---- �.,.--- <br />-----_�"__�; i..,--. <br />_ ._--�_-�._._�.��__�__-.�... _�. 4 � . <br />Call Backllnspection . ____.__._ Fee Paid $�_�- <br />� �, <br />- ,, ..... ---...--- —'-------- -----' <br />-- ---' ARPlicant <br />, . /� � q <br />�j ��' �. t�. � - - " �`_7--- - ---- - <br />BY.. -;,.r.:; ----�- -�- - i ,. <br />�'lans approved and Pennit granted as r�qucsted'Rereiii. <br />%. <br />��. <br />� -- —.�"g�_�_ �...m�eu'�-,.:'i�' _ . _Inspector <br />13y . . . _. ./t�}A.._.,'. _----- - - - <br />PERMIT I�° "r `�'' <br />