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CITY OF EVERETT <br />Application and Gas Installation Permif <br />All Work to be Done in Accordance witFS` ` <br />City Ordinance - �� � <br />� ' ' �., <br />, . !it , � <br />Everett, Washington--..-_...i.�/l.?�.".-�=:'-��:�':..:, 1q.�t' 3. <br />Location'.........3.y �..h_...LY.,�.�.------ .............. <br />. ,./ . .. . . . ._._. ._. <br />PP _..../w,`���.,.�,aa:' ............................__ <br />Owner......`. <br />A licant..'....._'t.��!.:i:v��.:.':.^..`!..!Y..:::......._._ <br />P.ough piping in�pection __ X—_ <br />Pipe in excess of 60' ____'— Gas Stoves - <br />Gas refrigerators __ _. Gas water heaters <br />Gas space heaters to 70,000 B.T.J. input ��. _ <br />Gas space heaters over 70,000 6.T.U. input ___ - <br />Gas fumacef to 400,000 6.T.U. input _—_.- _ <br />Gas fumaces over 400,000 ;B,Ti.U� input ___ <br />Conversior. units ro 400,000 B.T.U. input _-- <br />Conversion units over 400,000 B.T.U. input <br />Small appliances.-__. ------ --...-.-. _---- � �.� <br />- — � -. . .--.•_-- --� ------�+^;"T <br />_� � <br />Call Back Inspection � __ Fee Paid $_��.._...__ <br />-- --- -.. -- - — . - - - . .- Applicant <br />- " <br />B,-.:: .._: __ ��.�,, - - - - - - - - <br />Plans approved and Permit granted as �cquested lierein. <br />_ f r;r,�.� ��. . .;; , _ <br />. �_ _ Inspedor <br />a,, �;c' i"I� _ _ <br />PERMIT �I" `"'��': <br />