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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordancelwit}i <br />- City Ordinance <br />/�( � ` , .�- <br />Everett; Washington:.:.., ��C.�:J..4:••........,-19.L.�.�. <br />Location ;--�l.0 LI "..� �.�-tt��".. .--..... <br />_ _ �QfJ ,�,i+-�-c _. <br />Owner. .�`� t`'t,�0 `:T�s . .... <br />A�,,,.� . ,;xt� ,,,,�t<� � <br />pplicant .,�a--.i........ ...,ti�" '� ;! �I.r...... . :..... ..... <br />Rough piping inspection �_ <br />Pipe in;exces5 of 60' —= Gas Stoves _. -- - <br />Gas: refrigerators _—_— .Gas water heaters_�_—_ <br />Gas space heaters to 70,000 B.T.U. input -- <br />�„�.�;. i,�,� � � - ,;,.�: <br />Gas space heaters over 70,000 B.T.U. input <br />�_,. ,.� ,� � _ .._ <br />Gas�fumaces to 400,000 B.T:U. input — <br />Gas fumaces over 400,000 B.T..U; input _ -- <br />Conversion units to 400,000 B.T.U. input —�_-- <br />Conversian units over .100,000 B.T.U. input <br />Small, appliances_�_ -------- — - <br />-- --.`.,.,.�_------•------- ��7 ir r�. _ <br />Call Backjinspedion ___�_.__ Fee Paid$�L_Y <br />. . — —"— — ----'---------- -- <br />_.Aqplicant <br />� -, � <br />:. <br />B .... _ _:.:.. .... r � � -- ; — <br />. <br />_ , : . �:. /�` � % �_! -�---- <br />Y't i . ---- , <br />Plans �pproved and Permit gw4ted �s�requested!Fierein: <br />r <br />,_ ,•; ' <br />;'�'(' � ��'r+��'�,;. i-- ----Inspector <br />- % �,__ <br />QY. - --_`�- -- — __--_ _ __--- <br />9ERMIT '�T': 'f�';� <br />