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GTY OF EVERETT I <br /> Application and Gas Installation Permit � <br /> All Work to be Done in Accordance ;with <br /> City Ordinance <br /> Everett, Washington,.....:.��..----••- .. Z . 19„f�y) � <br /> . -•-.-- '-'..,...,.,. , � <br /> ` j �`. r�r <br /> Location._.:_..�„?:�..f.-�.�.;.,�.-. � ••------••..... ........ <br /> ....... <br /> ...... �..�..................... <br /> , � � <br /> __ <br /> Owner.......:.:.:..+.�."r:.. � t�v.-+� <br /> '"'" �............. <br /> i _ _. _ i , <br /> { �. . �.... ... <br /> __..... <br /> Applicant....'--� --..I::!.�x , <br /> •-. �..---�y�............... <br /> V ' <br /> Rough piping inspection __..X__ _ <br /> Pipe in pxcess of 60' ____ _ _ Gas Stoves _�i____ <br /> Gas refrigerators _ ____ _ _ ,�as water heaters_,...._._. <br /> Gas_space heaters to 70,000 B.T.U. input _ ____ _ <br /> !d <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,OOO ,B�T�U� input ____ <br /> Conversion units to 400,000 B.T.U. input _�� _ <br /> Conversion units'cver 400,Q00 B,T.U:�;input __ _ <br /> Smal�,appliances______ _ __�__ _�_ <br /> ----�-�-��c�----- � �/ ��- <br /> --�� <br /> Call Back lnspedion ___ Fee Paid `��,l.=7` <br /> �...,Y,, <br /> _ ` --Yr--`-- —. -- - �_ ApPlicant <br /> �Y �_I _ �.�tt�.�� 1_1L�.,�. s ..__ <br /> �')� <br /> Pl�h"s�apdroved and Permit�granted as requesfed h�'reir�: <br /> --- � ' .1i��Sr 'i'y-_---Inspector <br /> � � '- <br /> QY — — --���''� -- ----- <br /> PERMIT N° 3322 <br /> , � <br /> � .���: <br /> ,, <br />. <br /> � _ _ --- - - -- J <br />