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CITY OF EVERETT <br />Application and Gas Insfallation Permit <br />/�II Work to be Done in Accordance with <br />�City Ordinancc <br />Everett, Washiny'.n......::.::' :...::....::....:..- -....., 19 -- <br />;, / <br />Loca"rion _ ` ;� ��'- <br />' ...r q4.♦ i..f,. <br />""""""....�......-. ......................................... <br />Owne r--... _ .......:...::!: a�.`�............................................ <br />,. � .. <br />. , <br />, . . , . <br />,. .,, . , . <br />Applicant i'.-----`-�-4 .�.., .._�.._. _� � � . <br />--- ..............'---................................. <br />Rough piping inspection ____�_ __ _ <br />Pipe in excess of 60' ____ Gas Stoves - <br />Gas refrigerators_ ___ Gas waten c�aters <br />Gas space heaters to 70,000 B.T.U. input _. �� <br />Gas space heaters over 70,000 B.T.U. input _ <br />Gas tumaces to 400,000 B.T.U. input • <br />Gas fumaces over 400,000 D.T.U. input .- <br />Carncrsion units to 400,000 B.T.U. input - <br />Conversion Units over 400,000 B.T.U. input - <br />Small appliances_- _ _ , _ _ <br />Call Back"Inspection __ _ - _ Fce Paid 5_' _ __'�__ _. <br />.. <br />..---- - -- � ----- - - . ._ Applicant <br />. . �� � ; --- / - <br />� a . � _ . :. c- r. <br />BY- --- - -- --- --- —. __ _ <br />Plans approved and Permit �r�ntcd as requested herein. <br />� . i .i .�.�. :�... ,-��..y <br />- -._ _. _____.._ - __ - - Inspector <br />� <br />f3y . � � � � . . <br />PER�lIT <br />