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CITY OF EVERETT <br />Application and Gas Installation Permit <br />AIl Work to be Done in Accordance'with <br />City Ordinai ce <br />Everett, Washington ..... ...:........�, '� � '" <br />.....-� ....::......... .19..::. � <br />— ��-' . .., <br />� , _ . . w . <br />ocahon_ ......:.........:..-........ � .. <br />...................... <br />.................... <br />�;� i .. _.. / . . .. _ . <br />Owner......... '•-a_ Qs+� � <br />. ................. .......... <br />...................�--........ <br />. <br />......... <br />, .,._�. �. i_!_�:_ _ . . <br />Applicant..... .../."... '= � � , <br />..... .......................--.................... .. <br />F;ough piping �nspection _-r___ <br />Pipe in excess of 60' _.�___ Gas Stoves __ <br />Gas mfrigerators _______ Gas water heaters ___._ _ <br />Gas space heaters to 70,000 B.T.U. input _______ _ <br />Gas space heaters over 70,000 B.T.U. input ___ _ <br />Gas furnaces to 400,000 B.T.U. inpu� � _. _ <br />Gas furnaces over 400,000 B.T.U. input _ ______ <br />Ccnversion units to 400,000 [.T.U. input __ __ <br />Conversion units ovcr 400,000 B.T.U. input _—__ <br />Small app <br />-- --------*-,---- -- <br />:�<` <br />Call Back;lnspection .._—_ Fee Paid 5'.—__ <br />�' �. , ----%jPPlir.anl <br />� <br />_ ' —,- <br />QY-' -Y--Pr---- " - �—L-----•----- <br />f'lans approved and Permit �ranted as requesled herein. <br />. . _ . --`------- "-----._ Inspector <br />�, � ? j�t _'�_ . , � --_--- — <br />PERMIi N" ���;93 <br />