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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with <br />City Ordinanee <br />� <br />f-. -, <br />Evcreft, Washington ..............% � .'�-........., i ._�. <br />Q �.... <br />Location... '�.�%. p � �' <'-'�� <br />� <br />. ..........................:.......-........ -.......... <br />, -- . <br />� ..... <br />Owner.. �-- - .......................'.. :.�r.!cs..^....- - <br />.... <br />... . . � • . . �,c-a:. _ . . , • <br />,� � 1� /�u�,¢' <br />Applicant�.t_.:..i��........... : �....`.}:.�':�'........--... �� <br />/r' '-- <br />Rough piping inspection =\ __ <br />Pipe in er.cess of 60' ___ —__ Gas Stoves __--_ <br />Gas refr.igerators _--__ � Gas water heaters __—_— <br />Gas space heaters to 70,000 B.T.U. input —__— _... <br />Gas space heaters over 70,000 B.T.U. input __- __-- <br />Gas fuinaces-t0 400,000 B.T.U. input � __ <br />Gas furnaces over 400,QO�q_�B;T.�I�. input <br />� <br />Ccnversion units to 400,000 B.T.U. input _ <br />Conversion units over 4uU,000 B.T.U. input <br />Small. appl <br />— ----- �% �p - <br />Call Back,lnspecticn ._ _ Fee Paid $_L__�_ <br />.� _� �—___Applicant <br />/� , <br />QY--��— -�1• _' 1 Gi � .�.� : _tk. <br />v - -- <br />Plans approved and Permit granted as requcsted hcrein. <br />_ �, /� �, ',���,.�. y-c.w� --- - _Inspecior <br />/'' ��, J/ <br />Isy 1`�_ ' ___ -- <br />PERMIT \�� :' 4595 <br />