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CITY OF EVERETT <br /> Application and .Gas Installation Permit <br /> All Work to be Done in Accordance Wi4h <br /> City-0rdinance - -- --(� <br /> )j ' � ; '. ., / � ` l� ��` / ,r <br /> Everett; Washin�ton:::::.:.!�.� �+�-' ;- 19�... <br /> ......................�--- <br /> Location.........I,�..Q.5.....L�t.,A:E�.��......_-- <br /> ...... ._....._.._.............__..__.. . .�. ......__. <br /> Owner..............................•---.................---�--�•------�--......... <br /> P�,,. , .,. . . ;; 1 .. .�. : ._. <br /> A plitan},---�--....[ .n-T7 .��...'.Y......-.•---..LS��:..-�--�----...... <br /> J i <br /> Rough piping inspection _!�— <br /> Pipe in excess'of 6p' _ - Gas 5toves <br /> Gas. refrigerators __—_— ,Gas water heaters-._.�. <br /> Gas spam heaters to.70,000 D.T,U. input _ <br /> _ ..,�. <br /> - - <br /> Gas space heaters over 70,000 [i.T.U. input <br /> as furnaces`to 400,000 B.T <br /> t <br /> (`'i U. input <br /> Gas furnaces over 400,000 ;B,T�U, inpui <br /> ,�. . . _. _ ...� <br /> Conversion units to 400,000 B.T.U. input �_ <br /> Conversion units over 400,000 B.T.U. input — <br /> Small appliana ' _ —.-..-- ----. <br /> ,•.� , �, <br /> . _....... <br /> —�-,..n. �. � <br /> Po <br /> Call Back�lnspection _ --_ Fee Paid 5—��,. <br /> � � <br /> �_ _.._ - ----/>PP�icant <br /> �1 _—'— .J <br /> n <br /> Bytt–�-���`—_—�s�t./ - --._—._,_��,--, <br /> Plans �pproved and Permif granted a5.ie§uesfed h�reiii. <br /> _ (1[�1�7 _M'G�L�_��?--Inspecror <br /> QY ------i\= 1 n •_--- <br /> PERMIT I�a° 3�7(1 <br />