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CITY OF EVERETT <br />Application and Gas Installation Permit <br />AlI Work to be Done in Accordance ,with - <br />City Ordinance <br />Everett, Washington._.....�::�C�'.'..._..---�1---.-.--, 19_��%-- <br />Location ---����.......°.�..���---���:tcQ- ............... <br />_ _ <br />R�,�,,�� � wG�l • <br />Own�r...----t.'..^........".�':Y......�' .:.............. ............._...__.... <br />Ap'plicant:.��4.E"....:�:&.� :� ....i.�b � _ <br />................ ..... . ... � ---............. <br />Rough piping inspection --- <br />Pipe in excess of 60' _---_ Gas Stoves <br />Gas_refrigerators ____—_-- �as.water heaters � � <br />Gas space heaters to 70,000 B.T.U. input —.— <br />Gas space heaters over 70,000 B.T.U. input --- <br />l,a.. . � �. .. . .. ... _... .. <br />-; fumaces to 400,000 B.T.U'. input <br />Gas fumaces over 400,OU0. B�T; U. input _ <br />Conversion units to 400,000 U.T.U. input _ _ <br />Ccnversion units over 400,000 B.T.U. input --_ <br />Small appliznces_ (r. - <br />�� <br />— - -----. ---- ----�;- -- <br />/ , <br />Call Back lnspection _..___—__ FeePaid.b-.1.— ---- <br />��4X �a.! ��FUA.'i�" �o � _Applicant <br />�" i �—r <br />f <br />By.. ._ �� `- ------------------ - <br />,� <br />� Pizfis approved and Permit granted as requested herein: <br />�.y[JB_K�"'_':_. _ . . Jnspector <br />