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CITY OF EVERETT <br />Applicat�ion ar�d Gas Installation Per;ni� <br />All Work to be Done in Accordance'lvith' <br />City:Ordinance - � - <br />. , , �] '% <br />Everett, Washington:.....�/k�.�../�P.�:..., 19�./.. <br />Location.........�,..� a ���'�L��.. �� <br />.. .... .---..... --�• .................. <br />_ . .,.. ..��J' ,.� _ r_. ___ .. ..... .. . <br />Owner.....d.K�-��T`�'��-- --..'�F �/?:!��l.�.... :.................... <br />- ,T. ...... . <br />_,�.�.., _. . . �4J. .�lF. �-. _ _ .. . <br />Applicant.:: --.:.---:'/. fpG;' . .:..:..:.... .............................. <br />Rouyh piping inspection --_ <br />pipe in excess of 60' _---_ Gas Stoves __--: <br />Gas_refriy�rators �.__� ,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 />Ges 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 />Conversion units over 400,000 B.T.U. input --_ <br />Small ap liances__.._. ._____— <br />---�—:�-� ..�_...�--- .` -- <br />Call Back lnspection - __.___. _ Fee.Paid $- � �,,_� <br />,�,. _ _�_ _ __. _Appl icant <br />�- ,->. �. ,/ <br />BY� �-�'L�-` "�-'�'' �- `� ry / ------- __— _. <br />_ �-;?-*:;<- .. <br />PlanF`approGed and Permif,granted arsequested herein. <br />`�� �" ;l <br />. _— _— . F.is;�a��_� _Inspector <br />,. <br />�Y _ _ _ ('_ /n---- - <br />PERMIT �`:' ��17'� <br />� <br />