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CITY OF EVERETT <br />Applicafion and Gas Installation Permit <br />All Work to be Done in Accordance with <br />City prdinance <br />, i f <br />Everetf, Washington........_; t� `• �-' .� � yb S <br />............................. <br />.., <br />� . <br />^ .. •; <br />LotaTion �� � ( S •., •�-�r.n .,.,,, (i,va_ . <br />................................... <br />�� .............................""....."" <br />Owner.._.....l.�t"•�.'vl�•>.-� ;=,.a�4_C.t . <br />............. ......................' <br />J............................... <br />Applicant ......�...?....:. � . , <br />................................ ................... <br />Rough piping inspection ---�__-.- <br />Pipe in excess of 60' ____ _ Gas Sroves _._ <br />Gas refrigerarors._ __ _ Gas walcr heaters <br />Gas space heaters to 70,000 B.T.U. input ___._..�` <br />Gas space heaters over 70,000 6.T.U. input _ <br />Gas fumaces to 400,000 B.T.U. input ___._ _ _ <br />Gas furnaces over 400,000 D,T.U. input. __ __. <br />Convcrsion unit; to 400,000 B.T.U.input <br />Conversion Units over 400,000 D.T.U. input _____ <br />Small appliances_._. __. <br />- ------- ---- —�ff–;w.– <br />Call Back I�spection • Fee Paid �y_.1! ,___^ _ <br />!1': -��ii?1, <br />------- ---- �J.lr[,,._,_-- --- -APPlicant <br />3Y --- --- <br />Plans approved and Permit granted as requested hc�cin. <br />.r�+ v � <br />(�`,� 1�'a,�� <br />_ . -- --'- �1•;---��-: —. - - -Inspedor <br />By _ <br />PERNtIT <br />