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CITY OF EVERETT <br />Application and Gas Ins7allation Permit <br />All Work to be Done in Accor�' '. with <br />City Ordinance <br />, { � �� <br />Everett, Washington:.:.._-!=- ' :.<-C� ...:::............. 19.�?.,c. <br />1{r!..... <br />� � i <br />� �/ G /c/ c,( � <br />Location.......nj...C. �......`.....( !.-=- --�.i:c ........ .....-..... <br />�.y ? _ <br />Ov;ner. �--•--... . .....1../..�.:....��:4,� ................ <br />_ _ . _... . Q _ .. <br />A, � _ _.._ . <br />PPlicant.....:....�:.. � _ G''ti'�...--�-��--•�-�----- ................ <br />- .....1 .. <br />kough piping inspection <br />Pipe in excess of 60' ____—_ Gas Stoves _____. _ <br />Gas refrigerators _—___._ Gas water heaters—____ <br />Gas space heaters to 70,000 B,T.U. input _�.__- _ <br />Gas space heaters over 7),000 B.T.U. input <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,OOG B.T.U. input .—__ _ <br />Conversion units over 400,000 B.T.U. input <br />Small.appliances-_--_ ___---_------- ,—__.. <br />--- — -- ._.. �___ / � e r— <br />Call Back'Inspecticn —_ __. _ ree P�id 5__�.�'-_._ <br />,_..,_, _ -- - ----- _ __-- --------A?Plicaiu <br />; ; j- �. � -; <br />gy., ___ �,--f�n, c - C.-- —� „ r� ---- --� ---- <br />Plahs approv2cl and Permit granted-as requested�He�ein. <br />.a'f � �, <br />. . ! it �� � _ �. �..>. _ _. .Jnspeetor <br />a,, _ F('. it1.__ <br />PERMIT � <br />