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CITY OF EVERETT <br />•Application and Gas Installation Permit <br />All Work to be Done in Accordance with <br />City ,Ordinance <br />Everett, Washington.......... ��,�..`:�.... � : `: .........., 19::. �Y�. <br />_ ,. <br />Location �.:.' 't� ,'_.., � .ti � ,_� <br />.......... ......................::................................... <br />� l, /� <br />Owner..........-�---._.....C:.t..:^'z�.I.�[. p <br />.............. ..................... . <br />� �.f'+'�� � .'`: iJ� � �-�1,�',_.`�.7n. <br />Applicant .:......f`.J...`..:�r. r ��_. <br />..............:..............:.................... <br />Rough piping inspection. _ — .__ <br />Pipe in excess of 60' __ Gas Stoves <br />Gas refrigerators ____ . Gas waten c�aters <br />Gas space heaters to 70,000 B.T.U. input __ �� <br />Gas space heaters over 70,000 6.T.U. input <br />Gas fumac�s to 400,000 D.T.U. input .___ <br />Gas (urnaces over 400,000 [3.T.U: input ___.__ <br />Convcrsion units to 400,000 D.T.U. ir.put ___ <br />Conversion Units,over 400,000 D.T.l1. ir.put _ <br />Small appliances-__ , __�.____ __ _ <br />-- -- _-- <br />Call Back lnspection Fee Paid $__ _� :" ._ <br />.. .�------ - - -- �---�PPlicant <br />� ..:• , ,. �. =s' � . ,; ( <br />�y _ _--_--_ ___-__ -__ _ - _- _ <br />Plans approved and Permit granted as requcsted herein. <br />. .. � +�L"' .-r..i.. <br />---, —' -"- - - Inspector <br />6 <br />Y - , _- <br />PERMIT ' ' ,' <br />