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� <br /> CITY OF EVERETT <br /> Application and Gas Installafion Permit <br /> All Work to be Done in Accordance wifh ' <br /> City Ordinance <br /> Eacmtt, Washington.......�/.:�.� �' (i � <br /> ,-.....!.................. i 9...1. <br /> Loca�ion...._.. .� �/ r �j I <br /> �- : .. . <br /> .............................. . <br /> .........._:........... <br /> _ . .. .......... <br /> Owner. "^z•_.�. ,� ( , � � <br /> ..................... � <br /> ............'!:Y.....:..: � . <br /> � ... f . . ................. <br /> . r. . <br /> , , , � <br /> APplicant....�..<....`(f.. ti '."'.:..�.:::�..,.. i(.. ���i7: ; <br /> � ..:.....�.... <br /> � <br /> Rough pipiny inspection _ _ .__ __ <br /> Pipe in excess of 60' _ _ _ Gas Stwes _ _ <br /> Gas refrigerators ___.___.___ Gas water heaters ______ <br /> Gas space heaters tn 70,000 B.T.U. inpuf _. <br /> Cas space heaters over 70,000 B.T.U. input _ ^ _ <br /> Gas furnaces to 400,000 B.T.U. input _ __ _ _ <br /> Gas furnaces over 400�000 B,T.U, inpuf _ ___ <br /> Conversion �nits l0 4G0,000 B."f.U. inpuf ____, <br /> Conversion units over 400,OOU B.T,U. input __ _ <br /> Small appliances.__._ ___ <br /> ;�-._�_,.._---- --- - - - <br /> _ . _ -- ---- <br /> - <br /> LallOack,inspection . ____ �- <br /> - . Fee Paid $ _1_� —, -- <br /> . ..� � _.Applicant <br /> r i' <br /> ._;_ ___ <br /> ' ' ------------ <br /> . , <br /> �y" f"��'--_�---..� / .�.._ / � . <br /> � , ----.__ . � <br /> Pla�is approved and Permit granted as requesied herein. <br /> ��, � <br /> j � JL'L <br /> ' �-� �nS�JeCter <br /> .,•, �'( )�. <br /> PERMIi \':' 1 ti 1 ;; <br />