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CITY OF EVERETT <br />Application and Gas Ir+stallation Permit <br />AII Work to Le Done in Accordance with <br />_ City Ordinance <br />�/fj��� � p�% <br />� ....----....�.........� l' <br />Everett, Washing`on........L.G-`-'— ` <br />-'� � <br />-, a `� %-.--�2_l ��...:-- � .............� <br />Location....�:.---•- -_... .. , <br />�- . � � � �.r <br />Owner....--- ..2:� '......- .�.. <br />�t .. . .....Zi.:�.--......,..-- - <br />(�a-e-��-�'�.-�- :-.�-�%..... - - .:.. <br />Applicant---....... ... . --" . . <br />Rough piping inspection �— - <br />Pipe in excess of 60' ._�-- Cas Stoves _--�!- <br />Gas refrigerators ___.— -- Gas water heaters _.1� <br />Gas spaca heaters to 70,000 B.T.U. input _—,-- <br />C�s space heaters over 70,000 B T.U. inpu� <br />Gas furnaces to 400,000 B.T.U. input _ <br />Gas fumaces over 400,400 B.T•�• inout ___ <br />Conversicn units to 400,000 B.T.U. input <br />Conversion units ovcr 400,000 B.T.U. input __— <br />Small appliances___ <br />Call Back;lnspection _ _ Eee Paid $/" V , <br />,_,� _____— . <br />____--- _----APPlicant <br />� � �. <br />. �`G.,c., ' �` / ' ---------- <br />Gy.._ ___. �—"-- -- -�`--^—� --..,— Z <br />� � <br />f'!ens'approved and Permit granted as requested herein. <br />l., / _ � <br /><_,�,.y�:>Li�'u �`�=— Inspector <br />_ . _ — �-- <br />1 '��"' -- �-- <br />gy — <br />, PERMIT i1"' � ;��2 <br />