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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance:ivitK'� O1' <br /> City Ordinance . --............ . .... <br /> Everett; Washington.:..:.::.J.....�..�.:..y...................196.6.. <br /> � <br /> /� <br /> Location....................3.�...:�:L:..•---.......-•---- - ............... <br /> y` .� f <br /> Owner.. d�`�+,�en' )7ta-1�l <br /> ... <br /> Applicant ---:..... t u��-r..,'_S'��...: .. V -�.f'�......... <br /> .,....... <br /> Rough piping inspection <br /> Pipe in excess of 60' :': Gas Stoves __ <br /> - Gas,refcigerators — ,Gas water heaters _ <br /> Gas space heaters to 70,000 B.T.U. input <br /> ,. _ . _ _ <br /> Gas space heaters over 70,000 B.T.U. input <br /> Gas furnaces to 400,000 B.T.U. input <br /> Gas fumaces over 4 O,OpO.�B�T,.U� input <br /> Q...,_- <br /> Conversion units to 400,000 B.T.U. input <br /> Conversicn units over 400,000 B.T.U. input <br /> Small,;appliances_ <br /> i^_;j.L� .��___ ,;: i ,a� i.,�� �-�H:i <br /> q' '� �l� '� u u. .� <br /> _— .—.� � �� i� i5, � � 5 <br /> . , � ��� 4 �_.�� � � 1t � <br /> Call 8ackllnspection .-_ Fee Paid.S____..V_�_ .._ <br /> `�.,...--_.-r,._____��__� A9plicant <br /> � <br /> �.l'�l_c 1G. � / � -� �� <br /> BYfI-�""�--.-_�_ �._ ,.�_.'_"'_'"-'_"_I� <br /> plaNs`'approJed and Permit'gFanted:as mquestedJlierein. <br /> yi', L� ' ���'; . Inspector <br /> ,l_��+�. <br /> BY------— _ — - <br /> PERMIT r1"' 37��? <br />