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;,, > CITY OF EVERETT <br />Application and Gas Installafion Permit <br />All Work to be Done in Accordance'k'ith '' <br />City Ordinance <br />r. / <br />Everett; Washingron........��.r.3.`'�.�.._'!'.7..•.-.-... 19.G�.� <br />Lo�ation ...............1.X..0 �I �q,.�-*.^ra:•y,n.----...._.. <br />---••--...... . . . <br />Owner..........' -' ............................'•................................ <br />A li `, _ �_ �_ .. ._ <br />pp cant............��1:`rr".n. .......................................... <br />Rough piping inspection . x---- - <br />Pipe in excess of 60' ___-- _ Gas Stoves -�---- <br />Gas refrigerators _- _ Gas water heaters.:_- <br />Gas space heaters to 70,000 B.T.U. input _ -- <br />Gas space heaters over 70,000 D.T.U. input _— - <br />Gas fumaces to 400,000 B.T.U. input .— _- --- <br />Gas fumaces over 400,OOO.B.I'.U. input __ -- -. <br />Conversion units to 400,000 B.T.U. input --_.- - <br />Conversion units over 400,OQ0 B.T.U. input _— <br />Small appliances— .:— ----- - •-------- — <br />--- '_"— �' <br />Call Dack�lnspecsicm � _ tes Paid $�----- <br />_ _ _ Applicant <br />_ <br />• ---`----- — - . <br />,� ` <br />B _ _._ <br />y... _...,.,._ -- - - -- - <br />Flans'approvcd and Permit grznted as mquesied lierein. <br />� > Inspector <br />a,, --��-� __ — <br />PERMIT I�° 3"��� <br />