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CITY OF EVERETY <br /> Application and Gas Insfalla�ion Permit <br /> All Work to be Done in Accordance 'wifh`� ' <br /> City Ordinance <br /> Everett, Washi�ton......1�.. ."�f..C�:...��.......�. 19� <br /> ry (/ �.. <br /> Location........C?C.Ti_7.��?.... �.�-..�.".-.�C.!--... �"� Z <br /> . ..... ............. <br /> Owner........��...._,�..f'`�Ch=^�c'!t.�ntnrS.�_...... <br /> ;�.-.- / �y <br /> Applicant.........[�..�....CS.r................ _ <br /> . ...................... <br /> Rough piping inspection ._ . _.___ <br /> Pipe in excess of 60' ___ _ __ _ Gas Stoves _� _ . <br /> Gas ref[igerators ____ __ �(',ys watec.heaters ..... __ . <br /> Gas space heaters to 70,000 B.T.U. input _—__ _ <br /> Gas space heaters over 70,000 R.T.U. input _ __ _ <br /> Gas furnaces Yo 400,000 I3.T.U. input _ __ _ <br /> Gas furnaces over 40L1�0 0 B T U. in ut <br /> Pi: �L� r� P - — <br /> Conversion units to 400,000 B.T.U. input __ _ <br /> Conversion uni�s over 400,000 B.T.U. input ____—_ <br /> Smill appliances- _. ._. . . __ <br /> ,,- <br /> - ------- -_._--_—_.. <br /> i <br /> ------<- ----_—.—`--- ---- <br /> . . � -----�-- <br /> Call Back!Inspeciion _ _____ Fee Paid 3 _�.=,", _ <br /> �� '— <br /> ' � ._. .Applicant <br /> — -- — <br /> — - <br /> eY - -- c�h" �� ��i_SI�_ . ._ ,.� _...... <br /> �:; <br /> Plans'approved and Permit granted as� requested ilierein. <br /> � ' <br /> �{ . <br /> � <br /> . . _.—. _���'L.✓�r!C1c�'�F.�l�.r,;� _. _ .Inspeclor <br /> �v rt=��c, . " <br /> �ERMIT *T^ <br />