Laserfiche WebLink
CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work ro be Done in AccordancelW{tFi' ' <br />, , . City Ordinancc , t <br />y� � ) �. :.� � i ' �. ' <br />Everett; Weshington :.::.::..:.:...... � Y (.�.�, 19.�y. <br />,L II1 �.:.: �........ <br />Location....T7N�.....�!:�"�• �� <br />,x � -... ....... <br />... ........ �✓ r nu� ..... <br />Owner „_,.,. � <br />,. � . . . , R.�,���,�, ; ,���y1`, . �'�Q„�,�-�.�, <br />Appl ica nt.�.:.L';�: �..... S??:.: .....'---.:.....,.... .:.............. <br />Rough piping inspecTion —_.__ <br />PipC in excess of 60' ______ Gas Sroves _— <br />Gas refrigerators _-- _� Gas water heaters __._i� _ <br />Gas space heaters to 70,000 B.T.U. input <br />'�� : <br />G�s space heaters over 70,000 B.T.U. input <br />Gas furnaces to d00,000 B.T.U, inpui _ __. _ <br />Gas fumaces over 400,000 ,B.T,U.. input <br />_ �..� �._:.: , <br />Conversion units to 400,000 B.T.U.input —___ _ <br />Conversion units over 400,000 B.T.U. input <br />Small appliances_.____.______�______ __ <br />r• <br />--- -- _--_ __ _ _—�;S'}'C.. <br />Call Back lnsp�tion _____ Fee Paid $� ._._ <br />;�'�T� � ;, , <br />_"f-t --- — ---- _ _ _ _ Appliwnt <br />BY� +-„-`-- � �--/ ��-, t----•--.__ . - ' ' <br />plehs�approve d Permit g�anted as 'requested herein, <br />1 <br />- - - —. . �-P%�'.,Y � _ ��:: -. ..— - -Inspec'tor <br />' � . . . .. _ . ... . ...'-2 <br />°>' - -- - -- <br />PERMIT N:' :?`'!;? <br />