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CITY OF EVERETT <br />Application and Gas Installa�ion Permit <br />All Wurk to be Done in Accordance with <br />L��y Grdinance <br />Everett, W�shington.....L.�; _ � � L <br />/ , -........../......, 19�.7. <br />Location.....f.� .G..:3 U 1C��,� `� <br />Ti ................:A..:f'?- 1.�5�1.._. <br />,.: <br />/ � .. :: � [•• ... <br />Owner......l..i�:?: .H.Cl.!-�.-Y.......'�.X.:l.t.I ��'._t.": iC:'.`: }'�«...e..... <br />Applicanf :..:.:.......✓�..'�!....� . <br />.................... ............... <br />Rough, piping inspection _ .j� _ <br />Pipe in excess of 60',_.____. Gas Stove: <br />Gas refrigerators _ _-_ Gas water Fieaters ---_-- <br />Gas space heaters to 70,000 B.T U. inpii� _ �/ <br />- L�---- <br />Gas space heaters cvr.r 70,Or,0 B.T.U. �npu� <br />Gas furnaces to 400,000 B.T.U. input <br />Gas tumaces over 400,OOp B.T.U. input _______ <br />Convcrs�on units to 400,000 B,T.U. input __.__ <br />Conversion unifs ovcr 400,000 B.T.U. input ___ <br />Small appliances_._...____ <br />•-'---- - <br />� ----- --'------- ------ <br />Call Qack Inspecfiari __ � � <br />- Fec Paid $__�_ _ <br />...-.----/ ------- -- --- - -- <br />/i .- �------ -APPlicant <br />�3y.. �----� .I.J_ �_ � _ -T7 � :, S- _ � <br />Plans approved and Fermif granted as requesfed herein. <br />�.-� ' <br />,. <br />_ � 1%✓', E - t �, <br />- -. _/ '__ '_'�f______ �nspt�[fur <br />I.':Y ! � /� / �� <br />PERMIi \'.� 1 ; I y <br />