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CITY OF EVERETT <br /> Applicafion and Gas Installation Permit <br /> All Worlc to be Done in Accordance wifh <br /> � City Ordinance <br /> Everett, Washington.......�`^�`.. �r,.,,,, �g� <br /> V � �//�+� <br /> ......... <br /> Loca t i on......az..�.P2..fl...... ........."�n�:'1_..� <br /> ......-'..... ............... <br /> 1 if: n <br /> Uwner.......................... ...�� .... -�._ (t l <br /> 7 ' �' - <br /> - <br /> ................... - - <br /> Applicant............... .Lt!._�. . _ _ _ _ _ _ <br /> ...................................... <br /> Rough piping inspection _�\.__ _ <br /> Pipe in excess of 60' __.___ Gas Stoves _ <br /> Gas refrigerafors __ _ _ .Gas water heafers .. _.. _ . <br /> Gas spacc heaters to 70,000 B.T.U. input _ _� _ <br /> Gas space heaters over 70,000 B.T.U. input ___ _ _ <br /> Gas furnaces to 400,000 B.T.U. input _____ <br /> Gas furnaces over 400,000 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 /> ----- � -—�---- —`-,-- <br /> �/ � <br /> Call Back lnspection _ __. Fee Paid $�_T <br /> -- ,,..— <br /> � <br /> __'-- - — ---- --- - — - APPlicant <br /> �. <br /> By... _ — --— <br /> Plans approve nd Permit granted as mquested he�ein. <br /> _ .-- -- -���'7_i�'-��`•. -- -Inspec�to^ <br /> ev _ �'f�t_. . <br /> PERMIT I+7° ;i^r'�� <br />