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i <br /> CITY OF EVERETT <br /> I <br /> Application and Gas Installafion Permit ' <br /> All Work to be Done in Accordance witR ' � <br /> Gity Ordinance i <br /> �r I / /. <br /> Everett; Washington...:.... t4-:{�....:I::.............. 19d..�.. � <br /> � <br /> Lowtion.........�.�.�.i.{......�. . . . . ..- - <br /> ...... <br /> � }, _ _..,.. ... ___. .. <br /> --�-- <br /> Owner.....:_..`.1��.4.�.'.'�r.�`.i.��:.:�..- - <br /> � . �„_ /} <br /> Appl icant.......�-.-5''f.�!==�----�.Jl�i.t_r--.........-------...--- <br /> Rough piping inspection _ <br /> Pipe in excess of 60' ___ � _ Gas Stoves _ _ <br /> Gas refrigerators Gas water heaters.�.� <br /> Gas space heaters to 70,000 B.T.U. input — <br /> Gas space heaters over 70,000 B.T.U. input — <br /> Gas fumaces to 400,000 B.T.U. input <br /> Gas furnaces over 400,000-.B�L U. input _ <br /> Conversion units to 400,000 B.T.U. input __ <br /> Conversion units over 400,000 B.T.U. input <br /> Small-appliances��___.__,___._�_. _.. <br /> � c, -. <br /> � � <br /> � � � <br /> -11�;��.,,_:��� -t'��-;-,�-- <br /> 3 Qa <br /> Call Back!Inspection _._—__. . Fee Paid $�.�__�_ <br /> , .,,,�----,._,--._..—._....�.-- --- _Ap oliwnt <br /> ,, �. ' � � <br /> By..�i._.v�`��_'4s•..:_���� .�_�__..,_.��_ <br /> _ � , <br /> plan5'-��i�roved and Permit gr�7nted as requested lliti(ein: <br /> -� ,- , <br /> ------_I.�jg(j;s;��,'`J�- Inspector <br /> BY.. — ---1/_� � ��L -- - <br /> PERMIT ?`,: " " ' 'e <br />