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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Ar.cordance with <br />Cit�� Ordinance <br />_; , ,,'' <br />Everett, Washington_......'.'....`........ �. �.. ..._..., 19:. :._. <br />% c_� c; .. J ...b l',.==-� <br />.,. <br />Location ................................ ...... -- -. .._..--.......:........ <br />}� �� (: (�.<1.�:t.G.�a-t.� <br />!J � • <br />Owner._ ................... ...............•� -----................ ........... <br />� . ,.,_ . <br />� - <br />A IicanY �-'�'"'"'' ` � � <br />PP............J .......................................................... <br />x <br />Rough piping inspection __.__ -- - <br />Pipe in excess of 60' ___-_.___ Gas Stoves <br />Gas refrigerators _-_ ---- Gas waten c�aters _� <br />Gas, space heatei= to 70,OvU B.T.U. input __. _.___ _ <br />Gas space heatcrs over 70,000 B.T.U. input _.- <br />Gas fumaces to 400,OOG B.T.U. input __- <br />Gas fumaces over 400,000 B.T:U. input ---- <br />Gonvcrsion units to 400,000 B.T.U. input ___._____ <br />Conversion Units over 400,000 B.T.U. input . <br />Small appliances__ _ - -------- <br />----- --------- _....-.--' - <br />Call Back Inspection _— ---. Fee Paid 5_ ��_:.— --- <br />.� <br />� Y- '�. , l . . . ----APPlicant <br />------- ----- <br />_._.---- -- <br />-- , ,< ,i / ; • _i � <br />��. .tJ � !:�:_. .ib ,.. t.� <br />BY _------ -- <br />__.__._ ___._ _.._____—.___ ._ <br />Plans approved, and Permit granted as requested hetein. <br />�i'% �. <br />; ,'/-,_ "�a{. Inspedor <br />y __ __ __ _ _ _ <br />_ _ <br />PERMIT <br />.T. <br />_ _ _ ' � <br />