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CITY OF EVERET7' <br /> Application and Gas Installation Permit <br /> All Work to be Done in A.cordance wi41i <br /> , City Ordinance <br /> Everett, W <br /> . �/ / C' <br /> ashington. ...: .. . . .7.................... 19L.F... <br /> „ , , -?`H"��: <br /> Location.....v.�.n..�..U�.tr..w.. S.^.�..:z............ . . <br /> ,(' �� <br /> Owne r._..:..�,�:'�.+.�.I:'�St.,r.�...:.V.:h L:Cts..............._ <br /> (� �� � , -. ,�y�p �] <br /> Applicant ..._/��.a�+-`-�Y�......17..r.��:�t/ .._ ........_. <br /> 0 � <br /> Rough piping inspection � .__ <br /> Pipe irr ercess of 60' _ - - Gas Stoves - <br /> G:,s refrigeretors —. . _ 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 _x_:�i_- <br /> Gas fumaces t�, 400,000 B.T.U. inout'._ _�--- <br /> Gas fumaces over 400,000 B.T.U. input __ — <br /> Conversion units to 400,000 6.T.U. input <br /> Conversion units over 400,000 6.T.U. input _ ___-. - <br /> Small appliances---- ---.- - ------ <br /> -- ---- ------— - � <br /> Call Back Inspection —____ _ Fee Paid 5_ �7-,-- <br /> __ _ _. _ Applicant <br /> .._.,._. -- --- ---� ---- --- - . .. <br /> BY. ,_.._ L�p..�s��- �--±�-�7J__ _. . _.. . <br /> Plans approved and Permit granted as requcstcd hemin. <br /> [' <br /> — - ,��,�•-/�:?c-�'i,� . _. . - Inspector <br /> � . <br /> aY .t� I�l _ <br /> PERMIT '�" '�''"f; <br />