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CITt' OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance . <br /> J <br /> , . i �T . �, � <br /> Everett, Washington.........:................................. 19........ ' <br /> '� ' ' ' .1:.�._c�l�. . <br /> J <br /> Location ✓_ � � � ` <br /> ...................................... .............................. .. <br /> ','�.�o -.�.�.�' i`%. /\1t.n I�' <br /> Owne r..._...............I........ ................j...........i:.-..._... <br /> i;t d `�l <br /> Applicant .......:.:.......................... - -- -....................... <br /> Rough piping inspection_�—_-_ <br /> Pipe in excess of 60' _ ____ Gas Stoves . _ _ <br /> Gas refrigeretors_—___._ Gas water heaters- <br /> Gas space heaters to 70,000 B.T.U. input _._.._ __ <br /> Gas spate heaters over 70,000 B.T.U. input _-_ <br /> Gas fumxces to A00,000 B.T.U. input _ .-__ .- - <br /> Gas fumaces over 40R,000 B.T.U. 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 /> . -•� -- --n t U�_� <br /> ! <br /> Call Back Inspection --- Fee Paid b- �_.-_� <br /> -i <br /> ti. � �. � _ ._. . . ____Applicant <br /> -�----------� .�.i��, � :b ! .c i <br /> BY-• - = --.__ ----- <br /> Plans approved and Permit granted as requested hehein. <br /> %c�'(�� <br /> �9ti�u`Y.L'c �? .��.i� <br /> - -- -�---- . _Inspector <br /> 4Y- - - - - -_ . .- -- -� --- -- - --_ _ __ <br /> PERMIT � ' � �� <br />