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CITY OF EVF.RETY <br />Appliaation and Gas Installa7ion Permit <br />All Work to be Done in Accordance with <br />City Ordinance <br />' ' L -' ' ,. <br />Everett, Washington:::....:r�:s::s;.'rs:.^::.::../. , 19�...._ <br />�`j c�.�-....1 ��- �--�� ---�-� <br />Location.....�_::.... ---��-�-� � <br />. ___ �� <br />.' - i <br />� �•;.�.�. i 2_... .....� <br />Owner......_.....' ....:::.............................. ........................... <br />Applicant ................ir.'r.`i.......:.- --......_..__... <br />Rough piping inspection __ . - <br />Pipe in excess,oY60' _ -_ _ - Gas Sroves _ _- _ _ . <br />Gas refrigerators __— __ Gas water heaters _—_-_- <br />Gas space heaters to 70,000 B.T.U.input _ -- _ <br />Gas space heaters 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 />Conversion units to 400,000 B.T.U. input <br />Conversien �nits over �i00,000 B.T.U. input __—_. __ <br />Small appliances— _—__�-. <br />_.__ _-__ -__' . -__ __. __ 4�.... _. <br />Call Back Inspection ____ --_ Fee Paid $�.'"----- <br />-� -- —^- -------- <br />_-- __.__..-Applicant <br />,. <br />' � ,_/. . � � tj, � <br />.;. <br />BY-,_ _- "_ _-- _.___ �----- <br />Plans approJed and Permif granted as�req:�ested :herein. <br />�( <br />: . ,[, . : 7 e_ �, <br />---L--�--`=��--- _ _ Jnspedcr <br />r�y _ :- ....__.. <br />PErP��r � <br />