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1 <br /> j <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance,wifh " <br /> _ ,\ City-0rdinance. <br /> � _ . �; , <br /> - ' � 1��� � �. , <br /> � , � - , ? <br /> Evemtt, Washington...... .. a�....:............. 19...! <br /> 10 ' <br /> ... . .. <br /> ... <br /> Lotation...�!Y�.Y----. ....���-�`i................�--� <br /> . . ._... > f . ............... � . <br /> Owner..........�.k..l.:.._.�� . _ <br /> •...................... <br /> ,, ,,.,.._ � ,�S, _ . .. _ <br /> ..�s-£ s� .�_... <br /> Applicand.....��...,........S�wL..;"........1.._,.,,.....»................ <br /> Rough pi;�ing inspection <br /> Pipe in excess of 60'_ � ;r __ Gas Stoves _ <br /> Gas mfrigerators �Gas waler. heaters.L� <br /> Gas space heaters to 70,000 B.T.U. input _ <br /> _ , . . . .. ; : I._ . . .. . . _ _.... <br /> Gas spacc heaters over 70,000 B.T.U. input ___ <br /> , � � __ _ . <br /> Gas furnacQs to 4Q0,000 B.T.U. input _ <br /> Gas fumaces over 4AO,OOO.,B,T5U. input <br /> Ccnvcrsion units to 400,000 B.T.U. input ___ <br /> Convcrsion units over 400,000 B.T.U. input <br /> SmaJl appliances_ <br /> . , -----�t�(--" <br /> - -- ,_ � , .,.� �.:, i . <br /> Call�Back(Inspection__ Fee Paid 5� <br /> : � ., �� <br /> -.-• �pplicant <br /> �Y_,,_r ���-,�'����'�7y---- � <br /> -----� <br /> �__ <br /> Plan§'approved and Pe �t`�gren�ed as:requested hbrein, <br /> i t <br /> _—_C:: K. �';.:c_r.����., <br /> — �...---= Inspector <br /> �—---— <br /> a _ _✓�_ :����-� <br /> y_ _ __ <br /> PERMIT N:' 45�� <br />