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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance'w;ihr� ' <br />- �, City-0rdinance <br />� 4 <br />f:verett; Washington......:��✓''=,:!p-.:�.:--....... 19v�7/§.. <br />� � <br />, , . :. '! ' i? <br />� � /c /: _ / <br />Loca tipn.. .�.r%...1... � .. �"!.......i.:t.�.:S.'.r.!:'-�.�-...... �c � . <br />� � � � . _ W � � \ <br />� . � r c • � {,� e.t� <br />Owner :... . , ......._ �'----�- ---...... .. <br />. , <br />, � � <br />� <br />Applicant:.�.........,.:�x�...r:!�.....:':`..k_" .....................- .... - <br />Rough piping inspection _ � _ _ <br />Pipe in excess of 60' Gas Stoves <br />Gas, refcigeretors __."_ Gas watecheaters _� <br />Gas,space heaters to_70,000 B.T.U. input �_ <br />i � _,. t; <br />Gas space heaters over 70,000 B.T.U. input - <br />,� <br />Gas fu"maces `ro 400;0C!0 B.T.U. input <br />Gas furnaces over 400,1:00•.B.T.U. input <br />Conversion ,units fo 490,000 B.T.U. input -_ <br />Conversion units�over 400,000 B.T.U. input <br />Small apriiances_____ _ _ <br />_ � � ------�------'� '.'y.�*" <br />� <br />Call Back,lnspecticn _—___ Fee Paid S_��-,_..,_ <br />_.:_�,.- --- %�Plicant <br />� ��-- _�--�.�- <br />BY;:�=-��-� -- -r. <br />Plahs approved and penmiN granted es requested lfierein. <br />, i <br />1ril��ytri.�'v i. -. <br />__._ _ __ Inspector <br />-' �� --- - <br />BY'- --- -- --" �.-.�LL.. - <br />PERMIT iT" '�' � `� <br />