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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Wcrk to be Done in Accordance wiffi <br />City Ordinance <br />� , <br />Everett, Washington.........:d..... ... / b f......, 19..'.6.. <br />�........... � <br />Lotation... ��,.Z 0......�... /:•.�r�c•.. ............. <br />j �.�r, <br />Owner.......si.:Q�-c"Yta.G.l. %.'f,.... yW,f.[.idJL. <br />.................. ................ ...... <br />Applican �.._IJ�L.�u1v,r.....�^a. .�`�"..�uwd.t,�}�, <br />.............................. .......... <br />Rough piping inspection __ __. _ <br />Pfpe in excess of.60' ____ Gas Sroves _—__—__ <br />Gas refrigerators ____ _ _ ,Gas water heaters_. � ._ <br />Gas space heaters to 70,000 B.T.U. input _—__ —_ <br />Gas space heaters over 70,000 B.T.U. input _____ .__ <br />Gas tumaces to 400,000 B.T.U. input _ ____ <br />Gas fumaces over 400,000 B,T.U. input _____.__ _ <br />Conversion unifs to 400,000 B.T.U. input _--_ _ <br />Conversion units over 400,000 B.T.U. input _______ . <br />Small appliances-----------__ ...---___----_-_---_- - <br />=1'0- - --•-•_-_ U�@�'�.�-_ _- _____..._ _ <br />. , d6 <br />Call Dack MspecY n_ ._ Fee Paid $__� ,_�. <br />. ..._.� — - - �.p _. ._---..--.._. _Appliwnt <br />�y....�_ _ ���.�%�5�.__ <br />-- ,.--- <br />� <br />PIa7s �appreved and�emi�t grnnted as rcquested hercin. <br />_-`-'°���9�'L.._ .: Inspector <br />� <br />PERMIT P�;�. �� ����� <br />