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CITY OF EVERETT <br /> Applieation and Gas Installation Permit <br /> All Work to be Done in Accordance 'witlf' • ' <br /> . __. Cify Ordinance <br /> Everett, Washington....__.._-x�-±-�,.../_•3._._._.,- iq�,, <br /> 4 (%��{-.7 <br /> Location.......�l...�.az..---�--(LJ� - �--- -. .....-�--•-��-- ��---�-�- <br /> _ .. __�7 <br /> Owner -. �.. ��. :,::.( ��G ..... <br /> , i -.. ... <br /> � .� -� t . . /� <br /> Appjic�ant. ..:.:.��... ...... .......4.:12_---...... ...._...._........ <br /> Rough piping inspection ___ <br /> Pipe in excess of 60' — _ Gas Stoves _ __ _ ___ <br /> Gas refrigerators _ �Gas water heafers..._�_ <br /> Gas space heaters to 70,000 B.T.U. input ._L�—__ <br /> Gas s ace heaters over 70,00 <br /> p 0 B.T.U. input <br /> __ _ , . ... <br /> Gas'furnace5 to 40Q,000 B.T.U. input <br /> Gas fumaces over 400,000_,B.T,U. input _ <br /> ��.,.. � �; v. .� - <br /> Conversion units to 400,000 D.T.U. input _ _ <br /> Conversion units over 400,000 B.T.U. input ____ <br /> Sma I I,appl iances____ <br />. -- t �� „�:, �v �� <br /> Call Back,'Inspection ___�. Fee Paid $��_.�. <br /> t19� i / — -------p`PPlicant <br /> 4yri i:��1�-5:���--�.��--------� <br /> � i., - <br /> Wans'app�oved and Permit granted as requcsted herein. <br /> ` %� ;���_�,,��, �+ <br /> ---- - -Y_1L!�S1t�`�-�;�— <br /> _Inspector <br /> � _, <br /> C�, _ __���L"' - - -- <br /> PERMIT N:' 4332 <br />