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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordznce'Wi{h `�' <br />, � City Ordinance <br />,,,�}: : `. <br />I' - <br />' (�, ^ '� '_ � <br />Everett, Washington....`---•;-�`�="`s' ... , i <br />: � <br />................... . . . 19. :' : :. <br />i: _ <br />Location---...... � �I�. �-- --•= �-� .� S�% - <br />� ._ _ _ •--- .--...... <br />Owner--� -... �.1 �:.� �.--�.� 1/ �...� <br />..... �----....,lT <br />� � -• ......... <br />.. �!.� �y��p <br />, , ,; „ � - <br />Applicant..4_..!'�,.5'.. U;w7".� : C�!`E`.' .' �:I�!�-t�� <br />Rough piping inspection _%_ <br />P�pe in�ezc@ss of 60' __ Gas Stoves ____ <br />.. <br />Gas refrigerators __._ ' 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 furnaces 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 />Conversion units over 400,000 B.T.U. input <br />$mall appliances-__— �_ ��.. ��� <br />�� . ..-. <br />--------� 9�T-. <br />Call Back'In3pection _._�__ Fee Paid ` <br />S-Z_,. ,_ <br />:...._�- � /;—_ ----- -------'4PPlicant <br />.i-i..�_r:�' � �_� —" u/ <br />BY;; ; _ , �- _--- -� ---- -- <br />Plans approved and Pe�fni.F.granted as icquested:herein. <br />, <br />--�� � �• . <br />.y'.:ir.';Lr_ <br />?7-�--=- _ Inspector <br />'---' <br />-- - <br />BY. _.— _— � - �� ------- <br />PERMIT ' 7�' ,.� ,; <br />