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CITY OF ENERETT <br />• /►pplication and Gas installation Permit <br />All Work to be Done m Accordance with <br />' Cihr Ordinance <br />Everett � •�� �' - , '' � ' <br />, Washington...._.....'..:.... y , , <br />....................... 19::. .`... <br />'. . � ,-. : . _y;..`_ <br />Location .......::.. �..:....L.... � �_ �i:... '�r ,-•-t.. <br />-' - -.....- � ............._. <br />Own e r ..................... <br />: : .........................,............................. _. <br />' lr�-� �•,,,,;.. r,:.. = .:';, <br />Applicant ..........�-.--. <br />Rough piping inspection.__/�'___ <br />Pioe in excess of 60' . __ Gas Stoves j`� <br />Gas refrigcrators __. _ _ Gas water heafers . <br />Gas space heaters to 70,000 B.T.U. input ______ _ <br />Gas space heaters ovcr '0,000 B.T.U. input _ <br />Gas (urnaces to 400,000 B.T.U. input _ <br />Gas fumaces over 400,000 D: [;U, input __ _ <br />Ccnversion unit, to 400,000 B.T,U.input _ <br />Conversion Units over 400,000 B.T.U. input __ <br />Small appliances—_ _. _ <br />--- <br />—_ — <br />--- <br />_- ------����-- <br />Call Back�lnspection ___ __ Fee Paid $_ `"• 4""___ <br />— — - <br />- -,-- ----- -. . . _ ._. . _ �_Applicant <br />B1'- --- — — - �-- �. <br />Plans approved and Permit �ranted as requested hcrein: <br />M <br />_" _ _ . - :.�.' .� J' � ;<' . <br />--- --� - — � - - - `�'- - .. -Inspector <br />�Y . . _ , : .� .. <br />PERMI� <br />� <br />