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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance IwftK' ` <br />City-Ordin�nce. ---- <br />(\,, � .l r........... ' i"' <br />Everett, Washington:..:::::..:`:�,C.:..--,',.7 ,.19.�i.J- <br />Location.....-.-. � � �...��- --.��--.-02 �.�.--.�-....... <br />_ _. _ _ <br />� /,f <br />Owne r.....---•',_`.e.o�t<s:.tr ..............C.�=-C.:i.^.::_%!�':'.. +..:::'-... <br />p; � .'. ,% ;,-; . _ <br />A plicant ..:. Q.J ��.�.�..�--�-...... ..-- --........ <br />Rough piping inspection y — - <br />Pipe'in excess of_60' z Gas Stoves __-- <br />Gas refrigeraTore __.-_ ,Gas water heaters <br />Gas.space heaters to 70,000 B.T.U. 'nput �_ - <br />,. ;, .,. <br />Gas space heaters over 70,000 B.T.U. input __ <br />. _ _ <br />Gas furnaces to 400,000 B.T.U. input <br />Gas furnaces over 40Q,C00.-B;T.U. input _-- <br />_ �, . <br />Conversion units to 400,OOQ B.T.U. input - <br />Conversion units over 400,000 B.T.U. input _ <br />Small appliances�..-- — , <br />-- --.—___.�� �� <br />CaII 3ack�lnspection __--_ Fee Paid $_�.T__ <br />_Applicant <br />Y„r� —� _�.._..r�_.�� � <br />' ; <br />aY, � ,--- ��` ti.�.��-- <br />Plansap'Froved and Permit�granted,as requested iMereiii: <br />�" " <br />{;;,.. .. <br />_ _ _ _ j i`,�+- c.;l�' G _Inspector <br />�-� -- <br />BY -- - - _ L�I f'��"`- t --- -- -- - <br />PERMId �° ��r,"`� <br />