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�..�.,�,,,.�.....���,:.�.�.. ... <br />CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done,' in.hccordance'with ' <br />� City Ordinance <br />�IQ�} /S <br />Everett, Washington.:.......:..^':..:....�..1�::�..:......, 19'�!...... <br />Location.�..�.�.�. �....... �.�^.ti!� :.............................. <br />, �-�-�..RL`w4N� <br />�. ...... ....��,r ...............:............. ............... <br />Owner,...:.. .. . <br />APPlicant....::./..;.�......... `^" � _ _ ............... <br />. ......................�.............. <br />�. <br />Rough piping inspection --- _ <br />Pipe in excess qf 60' _--- Gas Stoves _— .--- <br />'� ' <br />Gas refrigerators --• Gas water heaters _----- <br />Gas space heaters to 70,000 B.T.U. input � X= <br />-.:� � � <br />Gas space heaters over 70,000 B.T.U. input -- <br />Gas fumaces�to 400,000 B.T.U. input _—_--- <br />Gas fumaces over 400,000•&T,W. input ---- <br />Conversion units to 400,000 B.T.U. input — .— <br />Conversion units over 400,000 B.T.U. input _— -- <br />Small,appliances_—_--_— --.—�-� 'Qi,- <br />./ <br />Call Back�lnspe tion -- ____ Fee Paid 5_� <br />_.- - --�s_ �'—��T—,----�F?Plicant <br />-- - <br />;I! � �7 6 <br />sv., -;�= _�^u�- —' — - _ � .. _ _ <br />Plans 5pprove d Permit grar,'ed as requested lierein. <br />� t <br />/,`?��,_ � ,_' _ __Inspector <br />- — . � <br />B•; - _ - -- ------ <br />PEHMIT ?�° � 4 � , <br />