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CITY OF EVERETT <br />Application aod Gas Installation Permit <br />All Work to be Done in Accordance with <br />City Ordinance <br />n . �� � , ', <br />Everett,'Washington.......:}.:`r'j.`:�s:�:.gQ/:........, 19�.. <br />v ' ' . <br />nt� � f.. � <br />Location.... / c, . (�;�r+� ��:�.....�. <br />� � . . . . r .......... ...... . .... ........ <br />. � q� /�'1 . . ..,. . . . . _ <br />. .... <br />Owner.......�: ...�u.�..�.: -.!.�,er. :z :e!i.�........ . <br />. , � ........ <br />. i „- ,.. - � . <br />Appl icant..:.... L�:.C�.2:...:!�1 .................. <br />.... - .................._ <br />Rough piping inspecfion _ �` __ . <br />Pipe in -excess of 60' ____ _ Gas Stoves ___ <br />Gas refrigerators _. __ _ Gas wafer heaters �+ <br />Gas space heaters to 70,000 B.T,U. input __i<_ 2�_ <br />Gas spaca heaters over 70,000 B.T.U. input ______ <br />,. <br />Gas furnaees to 400,000 B.T.U. input ___. ___ <br />Gas furnac.s over 400,000 B,T.U, input __ <br />Cumersion units to 400,000 B.T.U. input ___ ___ <br />Cornersior units over 400,000 B.T.U. input ___ <br />Small appliences--__--______ <br />_ _ _ .- , - <br />_-- - ------- - -- --- <br />- -__ —�rr- <br />hb <br />Call Back Inspection _. __ _ FeePaid $__ �' . _,__ <br />_...-• -- —._..-'— ---- - - - -- - -- - •4PPlicant <br />[iy.. .. __ . e�.;-*-+c:�' �G ��✓ <br />Plans approved and Perrt�it qran!ed`�as requested herein. <br />, � �'� <br />- - �� ,���i� <br />=' - � -�'` �' �� � _ Inspector <br />Dv /C" %J. <br />PERMIT ' : <br />