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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with ` <br />Ci:y Ordinance <br />Everett, Washington..._.....�/.�.�_.,,,� � �_,,,_ �q�� <br />....... <br />Location..I...°.�.�...... c� � �-....... I!!i`.!.`.-`':�.' ............... <br />(/� L e __,_ _.. <br />Owner......1.).�'D�t.i'..---.� �.......f..�...�'t'2�e'�, . _ <br />----• ......................... <br />.,. ,.,...: `y.9.,y_... ),.{. � ...� , � . .. <br />APplicant...�.�.Q•�....../d-d, - �/� <br />........ `�:.�..----r -.....---........ <br />Rough piping inspection _ <br />Pipe in excess of 60' __ ._ Gas Stoves _ <br />Gas refrigerators ,Gas water heaYers <br />Gas space heaters to 70,000 B.T.U. input �_ <br />Gas space heat2rs over 70,000 B.T.U. input ______ <br />� __ <br />_ <br />Gas fumacr.s to 400,000 B.TiU. input ___ _ <br />Gas fumaces over 400,000 B;T..U. input _ <br />. _�.•1�. <br />Conversion units to 400,000 B.T.U. input <br />Conversion units ov�r 400,000 B.T.U. input _ <br />Small appliances__ __ <br />---- , . �, , .., --�.,__ <br />Call Back;inspection _. ____ Fee Paid $ / � <br />-: -� � � �)i� L�.O � - —F`PP�'�cent <br />. ��l.d�%.. <br />, <br />, yu �--;------ <br />Plar.s'�approJed and Permif�granted as requested h�erein. <br />_ -. --�_:'-�lY"`��'�+� r._i. _ ------Inspeclor <br />PERtvIIT '�:" �� z� �' �'� <br />� <br />