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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with ' <br />City Ordinance <br />� <br />Everett, Washington........_�.::.,=,:a:r......,(.........., 19.r:.:_:. <br />-;,, ✓�S� <br />Location..... �� .• ....................... <br />.... .. � . <br />' !•-'^.'-(�..t.---..:.:'_.=t._._�.t.:.!7t�.�':.� ...... . <br />Owner .........:.... <br />_;.l,i 7 <br />Applicant ........ . ..:..'..:_...li......_..._........ - '- ...-' -- ... <br />v <br />Rough piping inspection _�'�-- <br />Pipe in excess of 60' _--- Gas Sto��es __--- <br />Gas refrigeretors ___ --- Gas water neaters -y`-- <br />Gas space heaters to 70,000 B.T.U. input �-- <br />Gas space heaters over 70,000 B.T.U. input __. _ <br />Gas furnaces to 400,000 B.T.U. input -- <br />Gas furnaces over 400,000 B.T.U. 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 />--- <br />.,,,. <br />Call Back,lnspection .__.__ __ . ree Paid 5_�> _- --- <br />-- ---- ------- -- ---- - ---- <br />_A licant <br />, , . , -, <br />, ; ��_. . . ; <br />. <br />By.. .--.Llc� .y t-��.----..t 1_�=—' --- ---- <br />Plans approved and Pe�mit grant�d as requested'He�ein'. <br />.. �;; , <br />- �---�=�-,�'�,�liYG%t---__._. _. Inspectoi <br />��, . _ �_ _ 1:� S1_ . . _.. _ ---� - -- -- - - <br />PERMIi <br />