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CITY OF EVERETT <br />Applieafioe and Gas Installation Permit <br />All Work to be Done in Accordancc with <br />Ciry Ordinance <br />� � � <br />' _ • � 5 <br />Everett; Washington..:........� ............. ............ 19..'...... <br />. .. �. ' <br />Location .....:�:. r..`.'...`/ (.U.x n_� :�. <br />�--�� ..................... � t . <br />..., . <br />....... ................... <br />Owner..........�... o-t.�. �, a� `....... �: f--� .. ..,:-� c. <br />......... <br />z---•o-�-:.. x .................... <br />Appli[ant .... ��......... i ' � <br />...................�--.............................. <br />Rough piping in;pection _— �-- <br />Pipe in excess of 60' _____..__ Gas S�oves _ <br />Gas refrigeretors ___ __ _ Gas water heaters _-__ __ <br />Gas space heaters to 70,000 B.T.U. input __ K <br />� — <br />Gas space heaters over 70,000 B.T.U, input ___ <br />Gas fumaces to 400,000 B,T.U. input .____ <br />Gas fumates over 400;OQ0 B;T:U, input .__._ __ <br />Conversion unifs to 400,000 B.T.U. input . .__ <br />Conversion Unifs over 400,000 B.T.U. input __._ <br />Smell appliances___ _ ___ <br />-------------':'-- <br />,[.� �r ; <br />Call Back�lnspection —___ Fee Paid $__!__,_ <br />c -,c� <br />l;. + `(� <br />------ ---!------_---�--APPlicant <br />er_ , —C.k'-..�-�.1� '�- � (, ,`r � 3 <br />Plans approved ar1d Nermit granted as requested hAr�in, <br />y� <br />� r..�, ���?,..:� ; <br />-- -- --- <br />- <...� , ...�,.�. <br />�— -------- -- -- ^spector <br />By. <br />PERMIT ;' '_ 7 �� <br />