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CITY OF EVERETT <br />Application and Gas Ir.stallation Permit <br />All Work to be Done in Accordance iwi}h <br />City Ordinance <br />; <br />Everett ' � � <br />, Washington .. .....: ..:..: . . 19.:.:..:. <br />'--:.........-- -•--�---, <br />� �"/ � <br />. .. , <br />i <br />Location.........::? _ :?..'.r_ `-' . <br />. ..................:....r <br />_. . .""""_ .S,r.:S.......... <br />�� � /�;,.. . .�. .. <br />Owner.._ ' ir ; ' --7- <br />� � ....._ �� ...... �- .:...rFc.e:3..it �.. <br />. . .. .. . ,� ,� �. . ...' .. .. .. . <br />_ . . <br />ApplicanL ..............::....:_ �, , <br />Rough piping inspection __ ____ _ <br />P�pe in excess of 60' ____ : Gas Stoves _�`� _ <br />Gas ref�iperatnrc __. vao water heaters __._ <br />Gas space heaters to 70,000 B.T.U. input __ __ <br />Gas space heaters over 70,000 B.T.U. inpu; __ _ __ <br />Gas fumaces to 400,000 B.T.U. input ___ _ <br />�as fumaces over 4��0,000 B.T.U. input ____ <br />�nversicn uniis to 400,000 B.T.U. input ___ _ <br />Conversion units over 400,000 B.T.U. input _______ <br />Small appliances_. _____ ___ <br />_ ---- <br />-`_-�--_ _ <br />Call Back lns ection-_ � <br />, P. -- - - Fee Paid 3.�� __` — , <br />� <br />...:___ �---�.—�-- - -� . pp'cant <br />`� �._, <br />__ __ _-_.A li <br />, <br />, <br />y_. -.�,=:-�--'-_�_:' <br />P��.ns app;r,vea and Permit granted as rc�uested:fierein. <br />- -- --_._. _. r�✓'-� _,�.?_j�__-- Inspector <br />BY <br />PEEtP�lT - - <br />