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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance'wi4h <br />City Ordinance <br />� `-- <br />Everett, Washington::.:...�l��..�:�.....�...,...,, 19.�...1-- <br />� / � , <br />Location........L.S�S...�.v�.r. !.(%.......�� ................... <br />--�•- - <br />_,�/.. � _ . .___ __._._...� Q __ <br />Owner...--•--.. Y.!....Y..`?:".'..��t. . �(:c�-`:!'-'C'-G-�!`�........... <br />�: ..: ; - r � -';..-. i �:.1'4-A„/ _ ._ _ . <br />,.� �t <br />� _.�i '�.rc, e �-•�.. !...... ...... ............... <br />P,pplicant .:........: .......... . . <br />Rough piping inspection � — - <br />Pipe in excess of 60';_:-- - Gas Stoves _-_ -u— <br />Gas-refr:igerators - _ Gas water heaters _. / `-_ <br />_ , <br />Gas space heaters to 70,000 B.T.U. input __—.- <br />Gas space heaters over 70,000 D.T.U. input -- <br />�as 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 appliances_-- <br />_— _ �--- c r <br />Call Back�inspection ___— �.- Fee.Paid $.._.L.--.�,.,-�--- <br />_ ---__--- - ,- -. Applic�nt <br />- �--- � . <br />� � � � _.. <br />B _ _Itr .. i:!_� _ ��-- �.�•---`-. __'-_i�>_`" <br />Y <br />Plans approved end PermitQranted as leq�iested }ierein: <br />. . <br />t,_5���';�"�_1irJ��.�E �,..St'�_'_.--- Inspector <br />_ / ..s;i <br />. � <br />gy !-� _ .J� �__._. _ _ _ - - <br />PERMIT ��" "`"�`� <br />