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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in A�-ordance iWith • ' <br /> City Ordir <br /> Everett, Washington....---:�:^� ....�............... 19..;..t� <br /> Location..........�.=1�.�..`Y'..".---�..t,.�..�..�:.�...... <br /> 1 __ _ ,,.- , <br /> Owner ..1�lL�1-:.`.�J, ..✓- ----�.uc�s r ......... <br /> _ t�:- -�D ,.; . <br /> Applicant...---..:---�,-�---r�. .----��--=------------------------- <br /> J <br /> Rough piping inspection —.__ <br /> Pipe in exce:s.of 60' __ Gas Stoves —�— <br /> , • /.: <br /> Gas refrigerators _ Gas water hesters._______ <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.r.U. inp��t _—_ ___ <br /> Gas fu maces over 400,000 B.T.U. input _ <br /> Conversion uni;s to 400,000 B.T.U. input _ _ <br /> Conversion units over 400,000 B.T.U. input _ <br /> Small appliances_—___� _ <br /> - --- ----- / �.,,� <br /> Call Back Inspection ___..___�_. Fee.Paid 5.___�:_,.__ <br /> --. —. ._App I i cant <br /> By�-- �_- �jy <br /> �:-.. , � ---r-- <br /> Plans'approved and PermiEtjr��ted as requested 'herein. <br /> ---��:�7`;1rr'..y~--'<I=----- -I nspec tor <br /> ` � � <br /> B� -- - - - = (-J>���----- -- -- - <br /> PERMIT � e" .. '. <br /> � <br />