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CITY Of EVER'eTT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with <br />City Ordinance <br />Everett, Washington. . _ ..__�":... ' <br />�:�, . ._..-�-----.; ,9_�?' <br />Lccation. . .. % ' � ' .... <br />���Y.. _,,.%.'l S'.......... �,.? ..:.................... <br />Owner /.1. .�'.'?'✓t',h,_,.. �"�-� .��.2..fi��.:�d.:-�lG... <br />--� <br />, � , _ _ <br />App�icanf ::.:.....:..... ....:��t.d�:.........:._:.-•�- .......... � - <br />Rough piping inspection — x — .. <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 — x <br />Gas space heaters over 70,000 B.T.U. input __— -__ _ <br />Gas furna'ces to 400,OOC B.T.U. input —._—___ <br />Gas furnaces over 400,000_ B.T.U. input <br />Conversion units to 400,000 Q.T.U. input — <br />Conversion units over 400,000 B.T.U. input <br />Small appl <br />Call-Ba Inspection Fee.Paid $ �`a �_ <br />�� �� j� ,' -�pplicant <br />aX � i -r--;r---- ----- --- <br />Plans�approved and Permit gcanted as requested herein: <br />�"" �.-------"----lnspector <br />By-- — _ _ <br />PERMIT 1�':' 4�!! �1 <br />