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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Wprk to be Done in Accordancelt4i}h'`'-' <br />, <br />- . City-Ordinance ... . <br />>�; <br />�., ,. ` ` / <br />Everett, VJashington........ . �:,.Rr.t....l .............. 19.5� `. <br />� � <br />, ,�, <br />i � <br />Location.........�c /.I........�:�:.....�oc.✓�-C..e....... <br />........,,_ _.. > /� <br />Owner........... �'.�. Ge::a:s......!JE:.P.:... �:.'S:f..:?-c�.e....... <br />l <br />,.�:��r�u-:� . .,-r �( , _... .� ... . _. <br />%rpplicant.:;.:......y.� :1�'�:��.�....-;-....�._`...`.:....;� ` � <br />Rough piping inspection � <br />Pipe in excess�1of.60;<- Gas Stoves _ <br />Cas ,refrigerators'.____._—_ � Gas water heaters �_ <br />Gas space heaters to 70,000 B.T.U. input _� _ <br />, _ _ __ <br />Gas space heaters �ver 70,000 B.T.U. input _____ <br />Gas f�rnafes to 400,000 B.T.U. input _._____ <br />Gas furnaces over 4�O,OOQ..6 T.U, in ut ____ _ <br />,�u �.t�-. �. � P <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />Small appliances_. __—__�_.____ <br />„�, - <br />_ `�. � _���.� _ ----- <br />' '�/� �,� <br />Call Backilnspection.._____._.._. Gee Paid S__"?`' ;��` <br />......,r--------� ----/----------------------APF.licant <br />�. �Cr c-K. "('< // ` 2 3 <br />eY,. _._ _._ --_— - ------ —L - - -- <br />, ; ., <br />Plans"Appreved and Permit gronted a5`.rcquested'Herein: <br />--�J" . , <br />- ----._fGS1S�_�Lt�'�' �'� _. _ _Inspector <br />a>'- -- -- ._/i_�%:� �- �---------- <br />PERMIi ��" ""��„ <br />