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CITY OF EVERETT <br /> Applieation and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance . <br /> . � , i ; '.. C� ! r� <br /> Everett, Washington......L.':..:...�......::................. 19.:..t... <br /> _,._..._ <br /> � � ' - i � �-•� � _ <br /> Location . �. :... 6•.......... ........................................ <br /> ........a. .. . . <br /> . . : .. r i. .., <br /> , :�i , ,,., ,; .. '/� .., <br /> :- <br /> � . <br /> �...:. . ...:................................................. <br /> Owner................ .... , � <br /> � , , ai :, ` ,.�,:�.� <br /> Applicant ........:'.::..........•-- ..................................._ .... <br /> Rough piping inspection_—_—-- <br /> Pipe in excess of 60"--- - --- Gas Stoves _ _ - <br /> Gas refrigerator� - _ ---- Gas water heaters.. �� <br /> Gas space heaters to 70,000 B.T.U. input _—____-.- <br /> Gas space heaters over 70,000 B.T.U. input ._ _ <br /> Gas fumaces to 400,000 B.T.U. input . _------- <br /> Gas fumaces over �OO,OOO B.T.U. input -- - <br /> Conversion units' To 400,000 B.T.U. input _ __—_.__ <br /> Conversion llnits over 400,000 B.T.U. input _ ____ <br /> Small appliances ----- ---- ----- <br /> _ , ,. <br /> ---------(�_' <br /> Call Back�lnspection____--_ Fee Paid �___'-_.'---- <br /> _ --�--- -- -- APP,licant <br /> , i__ . .� �� !. <br /> BY-- ---- — _— —- ------ <br /> Plans approved and Permit granted as requesled lierein. <br /> (>:_.', _.- _i ',.� �-- Inspector <br /> 6 � -- <br /> y - - <br /> PERMIT - ' � <br />