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CITY �F EVERETT <br />Applicatic�n and Gas Installation Permit <br />All Wbr4: to be Don„ in Accordance viifh <br />City C�rdinance <br />EveretY, Washington.,......�..Q.-�....YJ,.........., 19.!s�`� <br />.... <br />Location..-� .. ,�.��^L .'!. ..�.-�..�... v`Z.. �:Zl�.s�:�..--�-- <br />��� - <br />Gwner....... .a�.-�` -���" --�-2�"`••' . ----� ............ . <br />- --.. <br />, _. ( _ <br />Applicant......--�f�'r� �;� - - - � ............. -......_........ <br />Rough piping inspection _—_.__._ _. <br />Pipe in excess of 6U' -___-__ Gas Stoves _� <br />Gas refrigerators ..___._.—__ Gas water heaters _ <br />Ga� space h^a;ers to 70,OUC B.T.U. input <br />L',. <br />Cas space heaGrs over 70,000 E3.?.U. input <br />_.. <br />Gas furraces to 400,000 6.T:U, input _ <br />Gas fumaces over �t00,000 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 />Cal I, � <br />Back;lnspection ____—.-Fee Paid �t � <br />- �--'_-- ----- --------�PFlicant <br />EY ���r� - -- --- _ _... <br />Plans epproved and Permit yr�nted as requesled herein. <br />_- _ — - ��'�_ _ _ ___ _.Inspector <br />' {�1_ _-'— <br />�,� / <br />.'- - — _ - y t__ � _ --- - <br />PERMIT '�; `.' ��,55 <br />