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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance lvitli <br />. . <br />City Ordinance <br />+ ` • ' �� '.!L �` / <br />Everett, Washington:.:::...(.; ::I�r./.....�.....,......'.:, 19.�.:� <br />� � <br />Location........... s.'. l?_ � 1..��.'ka:r : .. :.l.�..a ............... <br />_.. . . .... . _ <br />Owner........... ............. .......�.......................................... <br />,l .. _ <br />v,-:: �i -_ ': � r,� 1 ,__., ;.. -,` <br />� � �. �. <br />Applicent .:..........:...........'...... ..............:........................ <br />Rough piping inspec'ion _�. X � <br />Pipe in excess of 60' ._.—_ Gas Sroves _-___ <br />Gas, refrigeretors -. ___ Gas water heaters....�___ <br />Gas space heaters to 70,00 J B.T.U. input ���._ <br />, � ; <br />GasJspacc heaters over 70,U00 B.T.U. input _ <br />�',as furnaces to 400,000 B."f�U. input __ —___ -_ <br />Gas fumaces over 400,000 E�tT.U, input <br />Conversion units to 400,000 f3.T.J. input _..__ .. <br />Conversien units over 400,000 B.T.U. input _-___ <br />Sma I I. � appl i ances �__..._.._._ ___-...� ___ .�..___._� _. <br />-- j-S';`---..�,---- — -------.__- _ i :2�i7 <br />Call Back�lnspection _____.._ _ Fee Paid 5_� �_ <br />.yi.�.-�_� _.._.�___...Applicant <br />. � <br />gy�,_._..,,..�-%�1�c-��1�-�Y-- _,_.____ <br />�. - <br />plans`approved and PAimit g�an�ed as requested h�rein: <br />�, . j•. <br />__--- GCt;_1,'."��.'4i'!'�_.,.'__a�.__ --Inspector <br />/ <br />BY - - 7l�- -- ---- - <br />PERMIT ?d� 3 �►' �► <br />