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CITY OF EVERETT <br /> Applicatinn and Gas installation Pes:nit <br /> AIl Work to be bone in Accordance with <br /> City Ordinance <br /> � <br /> ; . � � L, , <br /> Everett, Washington...:._�:..:(.'.x?cf..:�`�.'.... ,-19'.�--. <br /> �� <br /> �) . // <br /> Location-----�c..I..�...'>-.......(t�� ...::71`:!�-:�:.Q�.......... <br /> . - � � j� <br /> Owner......t::rl�.�-:.Ib.'.4r......t.C;�#��r.:�+�:�-'-... <br /> ` �.. <br /> Appl icant...:....--1:..��1.....::.... .....1......'t..........._. <br /> Rough piping inspecHon _�__ _ <br /> Pipe in e�xces:, df 60' ___ _ _ Gas Stoves _ ._ _ _ <br /> Gas refrigeretors -________ Gas waterheaters ..�___ <br /> Gas space heaters to 70,OG0 B.T.U. input _ � <br /> Gas space heaters over 70,000 D.T.U. input __ __ <br /> Gas furnaces to 400,000 B.T.U. input <br /> Gas furnaces over 400,000 B,-T.U. input _ _ _ _ _ _ <br /> Conversion units to 400,000 6.T.U. input ___ <br /> Conversion unifs over 400,000 B.T.U. input <br /> Small appliances__._-_--_.-_.____. ._ <br /> . .. - -�-.---._.'� _.._.------ `-�-r <br /> Call 6ack Inspection _._._..�__ Fee Paid $__�, __ <br /> . .._... ---- - _- --- ---��.Applicant <br /> _ � ,� <br /> �y-' -'--__���"'._�`'___--/,-�'----`--- ---------- <br /> � <br /> Plans approved and Permit�jrantetl as rcauc;ted herein. <br /> �'i , j <br /> �•J ��^-•<� Inspector <br /> - — �--�--- — <br /> �_ '__ <br /> � <br /> p>' _ y �—)� -- - - <br /> PERMIT '�?" ' � <br /> _ � <br />