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CITY OF EVERETT <br />Application and Gas Installafion Pcrmit <br />A�I Work to be Done in Acmrdance�wifh <br />City Ordinance <br />Everett; Washington:.......l..�l:t-�...:..�.�..........., 19.57.� <br />Lotation.....��...%o?S .(N.ie.al.+.:..✓'.�.Y.....!!.��.".�?r..�........... <br />Owner......���xA-' (�°-�2�l- <br />. ......................{.... _...................................... <br />..::Ilv l� : .� � /� . . <br />� . <br />Applicant'....'......` .'.�:. �..........._! ......................... ............ <br />Rough piping inspection _ �_ _ <br />Pipe'in excess of 60' - _ Gas Stuves <br />Gas, refrigerators —<_.___ � Gas water heaters <br />Gas space heaters to 70,000 E.T:U. input <br />Gas space heaters over 70,000 B.'f.U. input ___ _. <br />Gas furnaces fo 400,000 B.T.U. input <br />Gas fum:ces over 400,OOQ �T.,U. input — <br />Conversion units to 400,000 B.T.U. input �__ <br />Conversion units over 400,000 D.T.U. input <br />Small appliances_._.__.._�..---------_----�—. --_.. <br />� <br />—; �----- _�_�_..�_----- --t�M.-- <br />Call Backllnspec ion 6 _.y _ Fee Paid $__�� �.r,_„ <br />,,<...� —__--.�-:-���_ ---- —�..App�liwnt <br />� y. �,.� �.. <br />By�. _>+'.��'F'_... �_r�C" --- � a----- <br />. , �, .. <br />plans �p�SroJed a Permit granted as mqiiesied ilierein. <br />- - _ __._ ___1�L1�I�Wff�i�rC�i�L`. _ . _Inspector <br />By _ ` <br />PERMIT '�?�' :3f��� � <br />