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CITY OF EVERETT <br />Applicafion and Gas Installation Permit <br />All Work to be Done in Accordance �ith <br />City Ordinance <br />Everett, WashingFon.-----:..lt4f ....... . aS:r�-...`, 19.b..�. <br />... <br />. <br />3 � 1 z (",t� -�-.�,,1 � , <br />Lowtion......---------------7_l.. u.... ........ . . ... i..�.1:.."-- <br />Owner ............. �"' . _`. _ �j' _ .............. <br />..... .....................�--�-. . ..... <br />- <br />.P . , ; " <br />, ,. . J� . ,, , <br />A plicant....,.....���.�E: ti.-.. .....�.........._....... <br />Rough piping inspecfion —� - _ <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 __ Zi_ _-_ <br />Gas spaw heaters over 70,000 B.T.U. irput <br />Gas fumacEs to 400,000 B. I.U. input _-- -_- <br />Gas furnaces over 4p0,OP0.B.T:U. input —.___ <br />Conversion units Io 400,000 B.T.U. input _-_ <br />Conversion units over 400,000 B.T.U. input <br />Small appliances__ --__- -.-._ -__:_.._-_• <br />-- -- — -�-�-- <br />� D'G <br />Call Back lnspeciien —_ _ Fee Paid 5—.-.� ��; ._ <br />T.------ — -___' - -- -'Applicant <br />BY:--t:�r-��� � -- - - ---- _._ _---1-:�-.... <br />Plans a��iroved and Permif granted as requested }ierein. <br />. .--�ClY(��!.��.I:;i:r:�i..'. _ _ Inspector <br />Qy_ _. .. - �-�- � - � - - - �- - <br />PERMIT '_�:`' �' ��>; <br />