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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordan:e with <br />City Ordinance <br />., , <br />% . , `r � � o C <br />i ..... . ... ...: <br />:.:::.. .... <br />, <br />Everett, W�shington..::...-:: ��r. ' - �--��� � ' <br />Location._..... �..J.� I..�.....�.J.. �':: �"�� ....................-- <br />.. . ; . ...._. .. . <br />. ��.- L.�.r-r-._. :.................. <br />�/.{ i :'v���i_......� n...,....--•.--. -� <br />Owner....._ ....::........ . <br />. . . . . %7 f_... ... <br />...".'.'...'... _..... _... _.... _. _... <br />/�pplicant........... l: �_........ <br />Rou9h piping inspection _ _l=-- - <br />Pipe in excess of 60' __---- Gas Stoves _- <br />Gas rafrigerators __-- -- �Gas water heaters�__-_-_- <br />Gas space heaterr to 70,OOG B.T.U. input — y` <br />Gas space heaters over 70,000 B.T.U. input __ <br />Gas furnaces to 400,000 B.T.U. input _--- <br />Gas fumaces over 400,000 t3,T.U. input _-.--- <br />Conversion units to 400,OOQ E.T.U.input --- <br />Conversion units over 400,G00 B.T.U. input -- -- - <br />Small appliances_ _ ---.. --.._. .__— - -- : <br />. — —._--_, .'. . _.- ._.__'__.,�h-o i... <br />Call Back Inspection --- --- Fee Paid 5-`� -;-- - <br />- ----� -- -__ _.- APPlicant <br />_.._ -- <br />' �--�- //' � _ ,: <br />gy _ _ -- � _<-' -_'�----- - - -- <br />Pl�ns approved and P� mit grented as �rquested.herein. <br />� <br />1��i-+` Inspector <br />� <br />} <br />='�. -%�_____ <br />;,; <br />��,. -- - - __ <br />PCFth9iT �� � � ` � <br />