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CITY OF EVERETT <br />A,�plication and Gas Installation Permit <br />All Work to be Done in Accordance wifh <br />Ciry Ordinance , <br />, � �J <br />Evcrett, Washington....----..�".'.�:�..:�.°'�.�...:....,. 19�...... <br />Location.....R(�� 9. �.�...... �?.�...... �.i: "."..'.' .............. . <br />Owner ...i�.. ' ""`^:Y.�,,m, _ .... .... <br />j�/������ , <br />Applicant.���.k..:.T'.`.w_.._. �'C� ��'� �!. -__...... <br />Rough 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 />Cas space heaters over 70,000 B.T.U. �nput __._ <br />Gas furnaces ta 400,000 B.T.U. input — �_-- <br />Gas furnaces over 400,0OO.,B.T.U. input <br />,� . __ ..� <br />Conversion units to 4C0,000 B.T.U. input —__ _ <br />Conversion uriits over 400,000 B.T.U. input — —. <br />Small appliances-___.-------- <br />� <br />-- -�- -- --- <br />_� .:, �. <br />Call Badc,lnspection .. ____-_ Fee.Paid �_ � _ <br />� � I� ��� � ` Applicant <br />--'- �� <br />. _ , � �' ��c"—�------ — -- . <br />av,� . - ----;,-- <br />riai�s appFoved and Permit granted as requested he�ein. <br />_ �ili(fJW4`-t----�-'----- lnspecror <br />i3y . - --__------ <br />PERMIT �v��`.' �� ���; <br />