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CITY OF EVERETT <br />APplication and Gas Installation Permit <br />All Work to be Done in Accordance;wifh ` <br />City Ordinance <br />Everett, Washington........�g,d�f...l..�........., 19�.��'.. <br />; /�,� ]� <br />.. <br />Location.........�1.�?. �_Q /6�4.ilS�Cf..�.l:.Gt.:.t�... <br />.� <br />Owner ......::....:.�.(�Ta�.s.,� ' l.i�c4.:G�N-. <br />, . ....:. . <br />ApP � � �!� . ............. <br />IicanE:...-_ y(�lf""�'.�y ,.. �i .� � <br />........'t.�,. er. ..... <br />...............!.................... <br />Rough piping inspection �_ <br />Pipe in c�Cceu of 60' _, �__ _ Gas Stoves _ <br />Gas refrigerators �__ _. Gas water heaters _.,� _ <br />Gas space heate�s to 70,000 B.T.U. input _________ <br />Gas space heaters over 70,000 B.T.U. input ____ <br />Cas fUrnac,es to 400,000 B.T.U. input _ <br />Gas furnaces over 400,000 R.T.U. input ___ <br />Conversian units to 400,000 B.T.U. input __�_ <br />Convers�on units over 400,000 B.T.U. input ____ <br />$mall aPPliances--.�.._.__-- ---- - --- -------. <br />_ _ - - _..._�._.� <br />Call BackJnspection _ �O <br />-.-.-._ Fe�Paid$_. � <br />.:,�-_"- <br />. ._. __ _ <br />-/�- ---�- - <br />� ._ .. ____ - - ... .Ap�licant <br />BY'- � --:�,/S.` t.lC `_r- r -� a, <br />L .'.1 <_, - -- <br />Plans approved and Peimit grented as, roqucsted'herein. <br />�. r, � <br />_ �`� 4f?' ��� � <br />- - . 1 _y % - �-�. _ _ Inspector <br />BY �l, i��( <br />PERMIT ' : � <br />