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CITY OF EVERETT <br />ApplicaPioi; and Gas installation Permit <br />r�ii Vvork to be fJone in Accordance with <br />City Ordinance <br />� � i' <br />Fverett, Washington ..... .... .......•-.... j: �.)........, 19---t-- <br />Location..P..�{ 0.,�.-- I -1 � ��:ux.... <br />.................. ........ - - <br />_ � /� _ e <br />Owr.er......! .......K.._... ^'- .... . �`�V'IC�.I._ <br />- - � • - �--- -----�� - - - <br />j� r <br />_. �{� � • . Y <br />Applicant..- •� a'+�---� -'�`'"-a. _ �-iIc � �er , _. <br />...................'.?:�.......... _............. <br />l' <br />Rough piping inspection — � __ <br />Pipe in excess of 60' _.___ _.-_ Gas Stoves __—__ _ <br />Gas refrigerators ____._____ Ga,s water iieaters _.___ <br />Gas spare heaters te 70,000 9.T.1,'. inpu; _— __ <br />�as space hea�ers over 70,000 B.T.U. input —__ <br />Gas fumaces to 400,000 B.T.U. input __ <br />Gas fumaces over 400,000 B.T.U. input -_ __ <br />Cenversion units to 400,000 B.T.U, input _ �__ <br />Cunversion units ov2r 400,000 B.T.U. input ___ _ <br />Small applian[es___________ __ <br />�� . <br />G-,II [3ac1< Inspection _—___ Fee Paid $ <br />___��,�, � ----- <br />- . �ipplicant <br />(������a �C �f <br />6y- —�41.CIes--�----- -- — <br />Plais'appro d and °ermit granted es requested herein. <br />--��------ ----- _Inspeetcr <br />Sy. _ . . _ _ ._. <br />PERMf�' �' "' � <br />