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CITY OF EVERETT <br />_Application and G�s Installation Permit <br />All Work to be Done in Actardanceilvilh��`'' <br />City.Ardina�ce - <br />„, <br />�� ' � .f�� K.� �� � <br />. ; <br />Everett; Washington ........................:................ .19.'::.�i. <br />i�,�r� <br />Lotation........ � / � } ci,%,+;!.a-f ....................... <br />� ..:...... ... ... . .:..., . <br />_ Y ... . ....... .....� ---.,.. . . <br />. � .. ......... <br />Owner..... � .�'.!;� � •�`K ; . <br />: : . --z,� , � � � ;�- <br />APP,�.�:.� ,� �„��.� �: , ..:..... ........... <br />. . . ...... .... <br />I icant_:..:.. _�:i....... . <br />Rough piping inspection —!� <br />pipe in excess of;60`r> - Gas Stoves __— -- <br />Gas watec.heaters ___--- <br />Gas,refr.igerators.._---.------ � _ . X — <br />Gas space heaters to 70,000 B.T•U. �nput - <br />�� {�!-'. �,_, r <br />Gas space heaters over 70,000 B.T.U. input — — <br />Ges f�maces to 400,000 B.T.U. i'n'put ---- — <br />Gas furnaces over 40�OO�Q�B{T���,, 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 />---'.--".`_'_ tt�i <br />Call Back�lnspection --- <br />._ Fee.Paid $-/—iz, r- <br />� ,-------- <br />_Applicant <br />._,_,� ���' /3 s� - <br />BY _ _ �,�._�-5 i�i <br />PlanSapproved and P0i(nit grented,as rcquested h�etein: <br />1 <br />� <br />� � Inspector <br />— —t-� ��—�=�s� _ _ <br />f/�. ;;� _ — — — <br />ati,_ _ _ -- <br />PERMIT R:° ;>�' ;-' <br />