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CITY OF EVERETT <br /> Applicafion and Gas Ins�allation Permit <br /> i111 Work to be Done in Accordance with <br /> � City dinance <br /> Everett, �Washingtqn...��� /� Y� y <br /> .. .............................. 19.6 7 <br /> �.... <br /> �o�afrr,l.3y}.9... ,�L: ' . , <br /> � <br /> S � <br /> ........ ................................. <br /> Owner. . <br /> . ... ... .�-4t- ✓ <br /> ` ................................. <br /> ,4pplicanf.._.. ..'q��. ' ' <br /> Rough piping inspection _ /�_ _ <br /> Pipe tn excess of 60' __-__ _ Gas Stoves __ _X_ _ <br /> Gas reirigerators _.. .__ ___ Gas water heaters _.S1__ <br /> Gas spacc hcaters to 70,000 B.T.U. input /1 X <br /> Gas space heaters over 70,000 B.T.U. input <br /> Gas fumace9 fo 400,000 B.T U. input _ __ __ _ <br /> Gas furnaces cver 400,000 B,T.U. input . . <br /> Conversion units to 400,000 B.T.U. input __ _ _ <br /> Conversion units ovcr 400,000 B.T.U. input <br /> Small appliances..__._ ____. <br /> �.all Back Inspection ._ ____'. Fee Paid $..��_�._. <br /> c�,, <br /> ���-- - ..Applicant <br /> , ' ---- ----- ---------_.. <br /> G ..' �.. <br /> , ._..._. __ . ._.__.. _ .___.__ ... <br /> P�ans approved and Permit grantr.d as requested hercin. <br /> - - - Inspecfor <br /> �y <br /> PERMIi ,\:' 1�15,� <br />