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CITY OF EVERETT <br />ppplication and Gas Installation Permit <br />All Work to City� Ordinanceordance with' ' <br />i'• � N'��. .�Q•°•--�--��,..19.`:�+- <br />Everett, ��Nashington ...:....:.:...••. <br />....... <br />.._ / <br />/ � � O ._ �-7 v �... .. -•--�-� <br />Location �- -� •-- - - <br />f� , i-� -��< < .-- -... <br />q lir.. ,tt� � ... <br />Owne, : ` ' ��. !� �.... .�.. <br />,. <br />PPcant_...- � ........... ... .......... <br />Rough piping inspection �--- <br />Pipe in exczss of 60' ---- <br />Gas Stoves _ x <br />Gas refrigerators --- <br />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 fumaces to 400,000 B.T.U. input <br />Gas furnaces over 400,000. B,T.I�. input — <br />Conversion units to 400,000 B.T.U. input — <br />Conversion units over 400,000 B.T.U. input <br />Small app��ances_— ---- <br />_ _-- po <br />Call Back Inspection. _—_ Fee Paid 5�:; <br />_� _ _ �-APRlicant <br />---- �..id� .�—..w -- -- <br />gy. , ---- <br />Plans'approved and Pe�miE:g`anted as requesfed :hemin. <br />Y; <br />„_,. _.__ _Inspector <br />- ----��-�'--'--��� <br />Bv -- - -_/E"-------- ---- <br />PERMIT �?° `� � �' � <br />