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CITY OF EVERETT <br />„ Application and Gas Insfallation Permit <br />All Work to be Done in Accordance with <br />City Ordinance <br />�',..:� �r t <br />Everett, Washington.....::..i:.�� ..............�............, 19.`.'..�. <br />. % • /' <br />, — -- <br />y ; % ., , ,-n,,... <br />;:. ................ ....... <br />Location ..........:` :.................................... <br />�� :� .: : A „ l. <br />/ii'�_'a, � <br />`..� <br />� ....:............................... <br />Owner .........:....................:1.::.-i•-.• ' <br />,.: . <br />Applicant '� " <br />................................... .................................... <br />Rough piping inspection_ ��---- <br />pipe in excess of 60' __— =-. Gas Stoves ___- -_ _ <br />Gas retrigerators _----- - 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 fumaces To, 400,000 [3.T.U. input ____ <br />Gas fumaces over 400,000 D.T.U. input _. _- -- - <br />Conversion units ro 400,000 B.T.U. input . _- <br />Conversion Units over 400,000 B.T.U. input ._ -- <br />Small appliances------- --- -- " —" <br />Call Back'Inspection __ --- Fee Paid $_.��—��-- <br />. _ . Applicant <br />8y,:�i _.r �.! � f., _..�,<- _-- � ---'-- <br />Plans approved and Pcrmit grented as requcsted heiein. <br />! � � r. . <br />._ �:.: �- k .. <br />(., __� ..,,;.`��y'Ct, ..?.��� � _.Inspettor <br />— � � ----._. <br />- - - -- —`--� -, <br />� /? <br />BY— -- -L�- � =` --- -- -- <br />PERMIT �' .� � n <br />