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CITY OF EVERETT <br />Application and Gas Installafion Permit <br />All Work to be Done in Accordance witli`�'' <br />City Ordinance - - <br />Everett, Washington.::...,�..��..........., 19.�� <br />Location.....��.:3 �..... �� ................ <br />._. .l�,'. ../�.. ... . _.. <br />Ovmer ......�..o�..../ � /..... �-`-!!-'i. ....... <br />� � <br />�,.��n _. �f _ . <br />Applicant.........�-4: `�t'ti""`a` <br />.. x...�� ................ - <br />Rough piping inspection �—_ <br />Pipe in excess of 60' ___ —: Gas Stoves _-- <br />Gas refrigerators , Gas water healers _� <br />Gas space heaters to 70,000 B.T.U. input �._ — <br />�..,,. i�iv� � ,. , .. <br />G�:, space heaters over 70,000 B.T.U. input — <br />Gas fumaces to 400,000 B.T.U. input <br />Gas fumacee over 4,Ou�00iQ.�B�T.�li1� 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 />�' <br />, .: ----�____.__.�._..__�_ �-_ <br />Call Back�ln.spection .�—___�_ Fee Paid 5—�,_�.--�-. <br />._.._.�.__ _. _._A9plicant <br />By.. _.,..._..��-�� � �O � _.�-; � � <br />Plans Ap"proved and Permit grented as reques�ed'lie�ein. <br />- ----- �Y_'�:�!'��? --Inspector <br />B>'-- -✓� /�!„ � -- ---- - - <br />PEAMIT I�T� '��" �� <br />