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CITY OF EVERETT <br />APplication and Gas Insfallation Permit <br />All Work to be Done in Aaordance'viith <br />City�Qrdinance <br />( � � <br />Everett, Washington.:....... r^� " � � <br />. .�]5.... ..C..n.........q . ......... <br />LOCHtIC�. ' <br />9 A i �,. . <br />.... . .......................,]......................................... <br />OH•ner.....� 1� �.T- f'c� - <br />. ........ <br />.. ..................... �. . ..,�, • <br />I� �,�J. ........................ <br />Applicant.....lt..`..r.:..:f�,......."..+. '......: � - . _.. <br />. ....... ....................... <br />Rough piping inspeefion _ �' _ � _ <br />Pipe in excess.of 60' _____ ('as Stoves __ <br />Gas refrigerators .___ __ Gas water heaters _._._. ._ <br />Gas space heaters to 70,000 B.T.U. input k X <br />Gas space heaters over 70,000 B.T.U, input __ ___ <br />Gas furnaces to 4G0,000 B.T.U. input .______ _ <br />Gas furnaces over 400,000 B.T.U. input _ <br />:�., � --- - <br />Conversicn uni�s to �00,000 B.T.U, input <br />Gonversicn units over 400,000 B.T.U. input ___ _ <br />Small appliances___._.____,--__..__ _`_._ �_ <br />---.._..—.- —....__._� � <br />Call [3ack Ins ection _____ __ Fee Paid $_� <br />� - �r.�.... <br />` <br />" � ��= Appliwn; <br />B� - ' _ � <br />— ."�11 ....L�1 V 1/" <br />.. � . —.�_ _..___� � ' . . <br />P!cns approved d Permit granfed as rcGuested!hereiii. <br />�/i <br />- — }.L�'.���.`;L"f:l--`�C.�.-:...—._ _Inspedor <br />aY - <br />PERMIT ATn � ; f ; <br />