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CITY OF EVERETT <br /> ppp{ication and Gas Installation Permit <br /> All Work to br pone in Accordance with <br /> City Ordinance <br /> ••-------� �,.._ <br /> Evemtt, Washington.....�.�:-•--••-���-• � <br /> Location....�9�9......'_-"-._." --"'_':".................................... .. <br /> (� Q �� � (� �� �4.y;`+`:........................... <br /> Owncr......�-^"`^^.......1!_)1':.N"v... <br /> V <br /> �.�' �-, ... : :..........�+�.'.'_.�-'.'.-.:......... <br /> Applicant..................... .... ....- . <br /> Rou9h piping inspection —-�-- <br /> Pipe in excess of 60' �.-- Gas Stoves <br /> Gas refrigerators�__—— ,Gas water heaters__-- <br /> Gas space heaters to 70,000 B.T.U. input __—-- <br /> Gas space heaters over 70,000 B.T.U. input Z' — ' <br /> Gas furnaces to 400,000 B.T.U. input - — <br /> Gas lumaces over 400,000 B.T.U. input _--- <br /> Conversion units to 400,000 B.T.U. input _----- <br /> Conversion units ovcr 400,000 B.T.U. input _---- - <br /> SmAall applian es._- � f ' � , <br /> . `. 1L.S�6�.��-�-`0 —,.ro:..- <br /> Cai 3� �n.�cction _ ---- Fee Paid $�-"�:.- <br /> - -r���-���__�_'I�= � --P`PPlicant <br /> �y,' �1'��-e.''.'"✓----- - ----- <br /> f"ans approved and Permit granted as requested herein. <br /> -- �u+j . -----.- Inspedor <br /> ^��'-r-- -+—'--' - <br /> 13j� - - -_-_— <br /> PERMIT N`•' 4�'�5 <br />