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CITY OF EVERETT <br /> Application and Gas Inafallation Permit <br /> All WcrkNto be Donc in Accordance !wifF(`' ' <br /> City Ordinance <br /> Everett, Washington......k�/...4�fe-'.........(..........., 19�_�. <br /> �T .. ........................... <br /> Location....../.�.�..°....../�,i.�i . <br /> � � �-�P F�r 2�.�� <br /> Owner........�4.lT-J� .^.-r1'•- ..................................... <br /> � _.. j " .. :. _ <br /> .... <br /> Appjicbnt........../•Q•.�`:. ........... <br /> ....... ................................. <br /> Rough piping inspection �-- <br /> Pipe in excess of 60' __.--- Gas 5toves ----- <br /> �'.a;,fe(rigefators --- FC��s water hearers <br /> Gas space heaters to 70,000 B.T.U. input _�--- <br /> f !,. <br /> Gas space heaters over 70,000 B.T.U. input _--- <br /> tasrfu�naces to 400,000 B.f.U. input — -- <br /> Gas fumaces over 4RP�Qpfl.y91TQS1 �nput _ <br /> Conversion units to 400,000 B.T.U. input _ - <br /> Conversion units over 400,000 B.T.U. input ---- <br /> Sma'I,�pPliances� , <br /> -- —rti'1'Tn'r.. -- _�-�"-, <br /> �'jf. <br /> �` �� __ Fee Paid $ <br /> Call Back�InspRction .__ ---p,*�---�: <br /> ---J+PPlicant <br /> c-rc. � �o <br /> T� ���'" --3 '7 9------- -- <br /> PY�r�r �;, <br /> Plri�i§�epdioved and Permit granted as requested herein. <br /> �7 c <br /> - --- � (/�� g=:,, :,_____Inspecfor <br /> ay_ LL'�''—'--- — ——--- <br /> PERMIT N`.' 4936 <br />