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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance <br /> ._- _ <br /> .r . . 19:..`. <br /> Everett, Washington........'.5:.`.::.c �✓...:..::. , _. <br /> `/�_':�..c;.:•.,�..� <br /> Location .......::...... � ........................................ <br /> , , . . <br /> . � �.}� <br /> . �.' n._ ���.i J I.,/ <br /> Owner.......................... ............................................ .... <br /> Applicant '��.'�..� �� .'f�i..t s <br /> .......................................�........_................._.... <br /> v <br /> Rough piping inspection. '� .. . <br /> Pipe in excess of 60' _ Gas Stoves <br /> Gas refrigera�rrs_ - - Gas water heaters <br /> Gas space heaters to 70,000 B.T.U. input _—_. <br /> Gas spacc heate•s over 70,000 R.T.U. input __ ` <br /> Gas furnaces to 400,000 B.T.U. input ___ _ <br /> Gas furnaces over 400;000 B.T.U. input ___ _ <br /> Conversion units to 400,000 B.T.U. input - __ <br /> Conversion Units over 400,000 B.T.U. input - _ <br /> Small appliances-- _ --_ - --- <br /> ----•---- - __--->'Y' <br /> CaII Back'Inspectir,n _ _--_ _ Fee Paid �_ �r_ ..__ �_ <br /> ------- . ------ -- -. . _Applicant <br /> '� <br /> BY--- � - — - � <br /> Plans approved and Permit granted as rcquested herein. <br /> ,: � � <br /> _- _--.--- - . . -. -.- - - -Inspector <br /> BY - .' " <br /> PERNlIT <br />