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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AIl Work tc be Done in Accordance wi�fi � <br /> City Ordinance <br /> �, <br /> Everett, Washington..1Y.'.^.T':':..=��-�.............. 14.?�.. <br /> Location..✓.73..'.Zv���-:�............................ <br /> , __ <br /> {. s�_. _ <br /> Owner.............rJ...�:- `""'L' tf" '--.'�-r^ <br /> � ................. ....... ........................... <br /> / , _.. ..- _ <br /> :1pplicanL::.:...:...:'�tz�.r`.1..�?P,�..::......1.1".:............. ..- .... <br /> Rough piping inspecfion �'____ <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 i0,000 B.T.U. input _ <br /> Gas fuFnaces to 400,000 B.T.U. input __ <br /> Gas furnaces over 400,�OD B.T.U. input _ -_ _ _ <br /> Conversion unifs to 400,000 B.T.U. input ____ __ <br /> Conversien units over 400,000 D.T.U. input _-_ __ <br /> Small appliances____.________ <br /> \ a c <br /> Call Back �nsp�ction _____ Fee Paid 5_��_ <br /> ;_�:-�; ----AP�licant <br /> �y --,- �==L'=s��-�-1_._L�---- <br /> Plans approved and Permit granted as requesied herein: <br /> , � <br /> � � <br /> - - -�' ,.�{:�; _..�'�.:1�— - .Inspector <br /> �- � <br /> uY "—�a`---=- <br /> PERt�IT N�' 4f35 <br />