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CITY OF EVERETT <br />Applicafion and Gas Installation Permit <br />All Work to be Done in Accordance witfi <br />City Ordinance <br />Everett, Washington.... `.��, „ .,(,,:��......., 19. �,!.. <br />Location.... �..� �..t�.. �'" Gj `'c �t,vi.�,0.,:. <br />........ .......... .:::...... <br />,- . _. <br />_ <br />�_� ../ a �, _ <br />Owncr ....... ......... ...... �:'.�,...,,.t../ �lA_,1� � �� <br />. ,�� ................ <br />' '- �t�y T <br />Appl ita nt ...:.......:..:..�!"C/.........`... _............. . . ... <br />. . ..........._. <br />Rough piping inspection L� __ <br />Pipe�in excess of 60' _._ Gas Stoves h_ <br />Gas refrigerators ___�_ �Gas water. heaters..._.__.___ <br />Gas space heaters to 70,000 B.T.U. input �_ <br />_. _ _._ <br />Gas space heaters over 70,000 B.T.U. input .__ <br />Ges fumaces to 400,000 B.T.U, input _ <br />Gas furnates over 400,0O�.,B.T,.�J, input _ <br />_ .� <br />Conversion units to 400,000 B.T.U. inpul <br />Conversion units over 400,000 B.T.U. input <br />Small appliances______`_____ _ <br />- -- ----r-'-- ----- <br />, ' �_�7`__ <br />Call Back;lnspection ..______.� Fee Paid 5�.� <br />G�„y` ;.. <br />---�--.--- -Applicant <br />�Y . �� �,` � , __ <br />---,� �. <br />_ _... ._.__----- --- -'-_.._�L- <br />_ �r �: , -------�,-----._ <br />!'!ans appFoved and Permit yrantad as requested herein. <br />� � <br />. .— �- ���'� `�/ � �.. _. -_ -Inspector <br />T`- �=- <br />Ly „� 1'_`7i _ <br />PERMIi N.' �lt��►9 <br />