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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordante!with` <br /> _, <br /> City Ordinance ; <br /> V�. . , . , ; � <br /> Everett, Washin���°�°- . �..: ��.,......., 1�..... <br /> .. .. . <br /> I+" � ...:. . .. .. <br /> • Location--. 0..{ .P!.�.1�.... ...�r?�.R!....... . <br /> � ................._.... .. ........ <br /> Owner.......... . .... . <br /> Applicant:........... ��r-�:..'�......._�.�............:..:.. <br /> RougF� piping inspection _T�_—_ <br /> Pipe in excess oP,60' —�___- Gas Stoves <br /> Gas refrigerators _ \_�__ _ _ Gas watec heaters____._—_ <br /> Gas space heatrrs to 70,000 B.T.U. input <br /> Gas space heafcrs over 70,000 B.T.U. input <br /> Gas furnac�r to 400,000 B.T.U. input --_____ <br /> Gas furnaces over 4C1O,Op0 �B,T,U, input <br /> Conversion unih to 400,000 B.T.U. input _—� - <br /> Conversicn units over 400,C00 B.T.U. inp��t . <br /> Smallappliances-----___.W. ..—.-------�...,_�----- <br /> ----�.�_�..� - — _ -'--- ��.•_ <br /> {�` � <br /> Call Bad;;'Inspection _ ___ Fee Paid .^i,.Q_.. _ <br /> ._.. . _,--.. .__. ._._Applicant <br /> - - <br /> BY , # �/� �3_ _ ------ <br /> plans approved and Permit granYed\s rcGuested horein. <br /> � � <br /> . _ . _�1.�/4�e'�_ . - -Inspectar <br /> 6y �� �..r-- <br /> PERMIT '. :` ' <br />