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CI7'Y OF EVERETT <br />Application and Caas Installation �ermirt <br />All Work to be Done in Accordance vri•h� <br />City Ordinance <br />. <br />� S;. ___ <br />Everett, Washington....--..---�--.'`�;..�.........., 19;G1; <br />Locatian.....1.;1._l.�!...---...a� :Z-...�..r.-.r� fy%� - - <br />..... <br />�� .� __._ _ _ <br />. , <br />Owner.......:. �P:?.�......1l..1:t.:�..��..�.bt7�r4r.q-^�.......... <br />�. . ., � _ 1 ��y. <br />Appl ieant:t�'. :-..-, - .... ...��?ifi.L.----'�-•e�.�."�._: �` 1Y !-r�... �... <br />Rougn piping inspection _____ <br />Pipe in excets of 60' ________ Gas Stoves _ <br />Gas refriyeretors —_.______ Gas water heaters ______ <br />Gas space heaters to 70,000 B.T.0 input _�__ <br />Gas space heaters over 70,000 B.T.U. input <br />Gas fumaces to-;400,000 B.T.U. knput <br />Gas furnaces over 400,OOQ.,B.T.I!, input _—_____ <br />Conversion units to 400,000 B.T.U. input _ __ <br />Conversion units over 400,000 B.T.U. input __ <br />Small appliances___________�__ ____ <br />Call,�ack Inspection ___.___.�_ Fee P�'d y �_ <br />lil n� � . ..ii. . . �"—'^, <br />�. � . �� ,.�, --.. <br />f �� /., <br />By,,._� .1.l.- �-=- . -�' <br />....� . - � - �r--,---- <br />F'lan4'approved and Permit rantFd � <br />� 3s�requested hemin. <br />��' ^ � <br />. <br />_. �/_. _<-__.1�_`_�4_4:'..;�`�-���; .� ...Inspecfor <br />ey - - --�'..__;�•�'w" ---- .__- <br />- t.e��----- --- � <br />PER�tIIT °:`.' �`�c�� <br />