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CITY OF EVERETT <br /> �Application and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance <br /> . � <br /> ,1_i.(.. .; . . ... �. <br /> Everett, Washingion......:.................._..............-, 19'-��.. <br /> . <br /> � ... J n i'�,.��: ...� <br /> Location .......................................... ........................... <br /> I�J ,'v.ti t�' 1A.: .. n- r„_. <br /> Owner ......................... ........... .................................... <br /> Applicant ....:.-.'--..�:... <br /> . �1� <br /> Rough piping inspection_—_—_-. <br /> Pipe in excess of 60' _____ Gas Stoves _ <br /> J <br /> Gas retrigerators _ Gas water heaters <br /> Gas space heaters to 70,000 D.T.U. input _.-�.__ . <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 40C;000 B:LU. input ____ _ -- <br /> Conversion units to 400,000 B.T.U. input _ ___ - <br /> Conversion Units over 400,000 f3.T.1J. input _ _ - <br /> Small appliances - - --- - --- - <br /> ----'�:.__: <br /> � - - ---- :,� <br /> Call Back Inspection _ _—___ Fee Paid $—/._:.�_- <br /> ;r � , <br /> -- �'-��_ ��.---- -- ------ ._ _Applicant <br /> --- � <br /> BY--�� ---- <br /> � - - - --- ----- <br /> " • <br /> Plans approved a�d Permit granted as requesled hemin. <br /> i <br /> _ - ��h��-�-�-_ .: ��_. ._ _Inspecfor <br /> BY __ - - _- . <br /> PERMIT ' ' ` ' <br />