Laserfiche WebLink
CITY OF EVERETT <br />Applicaiion and Gas Installation Permit <br />AIl Work to be Done in Accordance with <br />�'' <br />City Ordinance <br />,� �,1.� 7 <br />Everett, V✓ashington............ � " '� 6 <br />n .....:�/.......�... , 19....L.. <br />Location..�C.�.n/� - �p / � <br />.........:'�R�-� ......:. ........... <br />, ............. <br />� n <br />Owne r. _,......... .�.i..s�..,. <br />..... . ..... .. ... <br />.......... ..................... <br />L; -. <br />Applitant.:'.:.:..,_.i,.:. .. ...:.. .../ ' . <br />Rou9h'P�P��9 inspection _�_-_- <br />Pipe in exce,ss of 60' .__ ,___ Gas Stoves __ __ <br />Gas refrigerators ______ Gas water heater;.____, <br />Gas space heaters to 70,000 B.T.U. input h ___ <br />Gas space heaters o��er 70,000 B.T.U. input .__ ___ <br />Gas fumaces 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. inpuh __ <br />Conversion units over 400,000 B,T.U. input ____ _ <br />Small appliantes__________ _!`__ <br />Call Bacic Inspectiai _.__.____ _ Fee Paid <br />$-_L__` .-. <br />-- -, "" � -------�-P`PPlicant <br />/ <br />aKc__io���i�---- --'---- -- - <br />Plar,s�approved and Pe�mit:pranted as requcsted herein. <br />- ------ - --�"{� _ .Inspectar <br />� �� �� '�f --- <br />PERk11T N:' 45 �5 <br />