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CITY OF EVERETT <br />Application artd Gas Installafion Permit <br />AIl Work to be Done in Accordance with <br />City Ordinance <br />Everett, Washington...,...:..�t4��...�.7.....�., 19..�'.l,. <br />Loca tion.... `:::. U...�. �.....l.C�l� "::!?:-.... <br />, <br />. , � . <br />Owner._..r:ir.t?.�.�. ..... ... /�... .t.lf.!Lrt.{.L.- - ....... .:.. <br />. <br />.. ' i . . . .:: � i; <br />/�pplicant...'.�.���"y�.y�. 1''0- . <br />�......... � r.'�. �..:;..:�......... <br />a <br />Rough piping inspection � ___ <br />Pipe in excess of 60' �_�_ -_ Gas Stoves ___ <br />Gas refrigerators __�__ _.____ Gas water heaters ____ ._ <br />Gas space heaters to 70,000 B.T.U. input _ _ <br />Cas space heaters over 70,000 B.T.U. input -__ - <br />Gas furnaces to 400,000 6.T.U. input __ ___ _ <br />Gas furnaces over 400,000 6.T.U. input _ <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 [3.T.U. input X__ <br />Small appliances_--.----_------.-_--�-.----, ._... <br />- - -- �._.. ��-----..._ <br />. ------ ir,�D-- <br />Call Dack�lnspection .__`�_ Fee Paid b_�.__....... <br />--.--------.___ .�.._----._.._ . Applicant <br />�. . t � � �. J� . <br />3y_ ..._.__ -__ - - ---- -- - . __-_ <br />Pians approved and Permil granted as requested herein. <br />. �=�_ �lt._.Z"V:.�; ��: ��'�-'. __ _. Inspector <br />�, -�1- ��t� - - - - <br />PERMIT ,'�'" 1:3!)t; <br />