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CITY OF EVERETT <br />qpplication and Gas Installation Permit <br />All Worlc to be Done in Accordance�With�! ' <br />.r,ity Ordinance <br />Everett; Washington......... ,�- <br />�.4�,:'�.....`� ............. . 9 b.6. <br />_, � ' . / lrJ.s� .'�-.-QC ................ <br />�.!.. c1......1.1..k�........s!' <br />Owneion.........;':��Ti.t�`sr ::5�:�::!:-!�R,c?^--:....... <br />/-� �y� <br />i�.._,. V -�'c�F-"1�('. _..cr ,..,. �. . . . <br />Applicant...!.. � .... <br />......_ ........ ... .. .. <br />Rough piping inspedion _---- <br />p{pe in excess of 60' _ �'-- - Gas Stoves ___ -- - <br />Gas -refrigerators __�. --- <br />Cas water heaters __y` - <br />Gas space heaters to 70,000 B.T.U. input -�-- <br />Gas space heaters over 70,000 B.T.U. input - <br />;as furnaces to 400,000 B.T.U. input — <br />Gas fumaces over 400,000 B,T.U; input -_ -- --- <br />Conversion units to 400,000 B.T.U. input _--- -- <br />G�nversion units over 400,000 B.T.U. input --- <br />Srnall appliances-___.----------'--- . . —. <br />----._'--�--- "'T�i.-. <br />- -- --_. _.._ _._ � h<o <br />Call Back'Inspection __-- Fee Paid $__,-.--- <br />Applicant <br />- -• �- --- - ----- � / <br />------- ------ � <br />,.�� <br />�_-�is�_`_'_s �:l_�.�. �----- <br />By.. i -c;- - - -. , <br />plans approved and Penli4t'gtanred as requested herein: <br />�.� '`� <br />^; <br />— - � dei ���1�_ -_.Inspector <br />�'Y - -� . . .. _/�--,• _ -------- - <br />PERMIT �; .� ,�s���n <br />