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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> C ty Ordinance <br /> : - � '� . . ,: <br /> Everett, Washington.... ......�..... •. ................... 19 - ... <br /> / � C ,! �.��1 tnt�•�a_L <br /> Location .................................. <br /> ...............�------................. <br /> ,-,., <br /> �.Dtl.4,O_.�.._...�_J..titL'.��..i <br /> Owner...............••----��--�-� � . .............. .... <br /> �, � <br /> Applicant .....��...._�---�1- . <br /> . .....---� .................................... <br /> Rough piping inspection_____�__ <br /> Pipe in excess of 60' ___—__. Gas Stoves - _ <br /> Gas refrigererors Gas water heaters_ _ <br /> Gas spare heaters to 70,OU0 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 furnaces over 400,000 B.T.U, input __._ _ _ <br /> Co.iversion units to ,G0,000 B.T.U. input _ ____ _ <br /> Conversion Units over 400,000 B.T.U. input - _ <br /> Small appliances_.—� ___._ .____�_____ _ _ <br /> Call Back Inspection Fee Paid $� .._ <br /> � f� d �--- ---- -'qPPlicant <br /> '�`.i•._�:1� � 'G ,�.+ � <br /> BY--- — - -- =----- --- <br /> Plans approved and Permit grented as requested herein. <br /> ,�(� <br /> -- --'lJlll��Ma.w .`'-- Inspector <br /> QY -- - <br /> PERMIT _� `. � :� <br />