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CITY OF EVERETT <br />• App�itation ynd Gas Installation Permit <br />All Work to be Done in Accordance with <br />Ciry Ordinance <br />� � 5 . : . „ <br />� ... ; , <br />Evereit, Washington .......................:'.--:.._....---, 19.'."..!.. <br />, _. <br />,j• / l� .] �,.� 4..?V.1q-��1%� <br />�� � <br />Location............................................... ............... <br />!c�� <br />Owncr. - ..._ �........ "-".:'..`" ......................_...._......_... <br />, r�., . . . y " ,- � .• ; <br />:�pplicant ' � d��.«-�. -^_ �. <<,� t.�� .a�: ,_:�'......... <br />........................................................ <br />Rou;�h pipin� inspection __�_—_ . <br />Pipe in excess of 60' _-_ __ _ Gas Stoves - <br />Gas .refrigerators _ . - -- - Gas waten c�aters . �__ <br />Gas space heaters to 70,000 B.T.U. input —___— _.. <br />Gas space I�camrs over 70,000 [3.T.U. input __, ___ <br />Gas fumaces to 400,000 B.T.U. �nput - _ <br />Gas furnaces over 400,000 $.T.U. input .—__ <br />Convcrsion wiits to 400,000 B.T.U. input __ <br />C.onversion Units ovcr 400,000 B.T.U. input _ <br />Small appliances—. --_ - - - --- ---- - <br />t <br />... ,--_ <br />�C <br />Call Dacklnspection Fee Paid �y_ .`- _ . -- <br />- -- <br />.:._ _ . .._ .:: Applicant <br />: , / y'1" ��'r ', <br />[3Y"_ -___ _ _— I'_ r C �a_ � . <br />Plans approved and Permit granted.as requesled herein <br />�- <br />._ ..� � __ �_._ ._ - _� - . __Inspedor <br />�,i ._l.,i:";i:�i� <br />�.� <br />[3Y_._ _ ..._-__ _' ._. _.___. ._ <br />PERI�IT ' ' <br />